Hallock, Grant Connell
Hallock, Grant Connell is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Hallock, Grant Connell can be contacted via phone (847) 723-2210.Contact Information
Primary practice address
1775 Dempster St
Park Ridge IL 60068-1143
Phone: (847) 723-2210
Fax: (847) 723-6987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036.166239 | Illinois |
Profile Details
| NPI number | 1225666357 |
|---|---|
| LBN Legal business name | Hallock, Grant Connell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2020 |
| Last updated | Mar 28th, 2024 - about 2 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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