Grothman, M. Warner

Grothman, M. Warner is an individual health care provider with primary practice located at 845 N Lake St Ste 1 , Aurora IL 60506-3178. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Grothman, M. Warner can be contacted via phone (630) 844-1244.

Contact Information

Primary practice address
845 N Lake St Ste 1 Aurora IL 60506-3178
Phone: (630) 844-1244
Fax: (630) 844-1199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1306053418
LBN Legal business name Grothman, M. Warner
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306053418 NPPES
Illinois Other 4515209 BCBS OF IL
Illinois Other 1710986179 BCBS OF IL

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