Search › Illinois › 207RC0200X
Grant Hallock, DO
NPI 1225666357 · on the registry since 2020
Practice
- Address
- 1775 Dempster St
Park Ridge, IL 60068 - Phone
- (847) 723-2210
- Fax
- (847) 723-6987
- Organisation at this address
- Irma Esposito
Kimberly Vincent
Advocate Lutheran General
Lutheran General Hospital
Advocate Aurora HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 454
Registry record
- Primary taxonomy
- 207RC0200X
207RC0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois