Individual provider · Type 1 NPI
John R. Groll, MD
Cardiovascular Disease Physician · Chester, IL
NPI number
1396716163
Active
Practice location
1900 State St
Chester, IL 62233-1116
Fax (318) 826-5152
Mailing address
1028 S Kirkwood Rd Ste A
Kirkwood, MO 63122-7222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | R8J11 (MO) |
| Cardiovascular Disease Physician Primary | 207RC0000X | 036-094904 (IL) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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About NPI 1396716163
John R. Groll, MD's National Provider Identifier is 1396716163, issued on Jan 30, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Chester, IL. The record was last updated on Jul 20, 2023.