Individual provider · Type 1 NPI

Grant Connell Hallock, DO

Critical Care Medicine (Internal Medicine) Physician · Park Ridge, IL

NPI number 1225666357 Active

Practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Fax (847) 723-6987

Mailing address

1646 River St Unit 701
Des Plaines, IL 60016-8418

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200X036.166239 (IL)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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About NPI 1225666357

Grant Connell Hallock, DO's National Provider Identifier is 1225666357, issued on Apr 1, 2020. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Park Ridge, IL. The record was last updated on Mar 28, 2024.