SearchIllinois122300000X

Jacob Groselak, DMD

NPI 1871136085 · on the registry since 2019 · sole proprietor

Practice

Address
15531 E 127th St
Lemont, IL 60439
Phone
(630) 257-6350
Organisation at this address
A Step Ahead Footcare, Pc
Weil Foot And Ankle Institute Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-10-21

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