Grothman, Marie T

Grothman, Marie T is an individual health care provider with primary practice located at 845 N Lake St Ste 1 , Aurora IL 60506-3178. She recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as her primary health care specialty. Grothman, Marie T 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 / Nutrition 111NN1001X Illinois

Profile Details

NPI number 1437366556
LBN Legal business name Grothman, Marie T
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1437366556 NPPES
Illinois Other 1710986179 CLINIC NPI
Illinois Other 4515209 CLINIC NPI

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