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NPI Code Detail

MEDICARE: ANNE ELISE GROVES M.D.

MEDICARE: ANNE ELISE GROVES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician036120143IL
22080N0001XNeonatal-Perinatal Medicine Physician01086865AIN

General Provider Information

NPI Number : 1699948786
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE ELISE GROVES M.D.
Provider Business Mailing Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 626-487-0161
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 626-487-0161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2008
Last Update Date : 04/07/2026

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