DR. MAUREEN E GROSDIDIER (NPI# 1104824374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104824374 |
| Entity Type | Individual |
| Full Name | DR. MAUREEN E GROSDIDIER |
| Credential | M.D. |
| Practice Address |
850 Busse Hwy Park Ridge IL 60068-2302 |
| Practice Telephone | 8478250300 |
| Practice Fax Number | 8478251825 |
| Mailing Telephone | 8478250300 |
| Mailing Fax Number | 8478251825 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| Street Address |
850 BUSSE HWY |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083081327 | Brianna N Debiasi | Physical Therapist | 850 Busse Hwy, Park Ridge, IL 60068-2302 | 2015-08-21 |
| 1700288172 | Douglas Kurz | Physical Therapist | 850 Busse Hwy, Park Ridge, IL 60068-2302 | 2014-09-17 |
| 1083013395 | Serah Amanda Frey | Physical Therapist | 850 Busse Hwy, Park Ridge, IL 60068-2302 | 2014-08-22 |
| 1699936393 | Kevin Koo | Family Medicine | 850 Busse Hwy, Park Ridge, IL 60068-2302 | 2008-06-24 |
| 1376731448 | Angela Elena Papassavas | Family Medicine | 850 Busse Hwy, Park Ridge, IL 60068-2302 | 2007-10-13 |
| 1467501171 | Ridge Family Physicians, LLC | Family Medicine | 850 Busse Hwy, Park Ridge, IL 60068-2302 | 2007-01-10 |
| 1194723197 | Carol F Graham | Family Medicine | 850 Busse Hwy, Park Ridge, IL 60068-2302 | 2005-07-13 |
| 1235137498 | William J Brander | Family Medicine | 850 Busse Hwy, Park Ridge, IL 60068-2302 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043586852 | Dimitrina Vizinas | Family Medicine | 1440 Renaissance Dr Ste 300, Park Ridge, IL 60068-1471 | 2012-03-26 |
| 1225289614 | Thomas Dent | Family Medicine | 1439 Courtland Ave, Park Ridge, IL 60068-5379 | 2008-10-04 |
| 1700042041 | Steven Joo Lee | Family Medicine | 1400 Renaissance Dr Ste 216, Park Ridge, IL 60068-1335 | 2008-08-06 |
| 1356508675 | Mary Kathryn Peterson | Family Medicine | 205 S Northwest Hwy Ste 130, Park Ridge, IL 60068-5802 | 2008-05-22 |
| 1831301688 | Northwest Medical Center S.c. | Family Medicine | 1022 N Northwest Hwy, Park Ridge, IL 60068-1831 | 2007-05-04 |
| 1235204397 | Keith Berndtson | Family Medicine | 15 N Prospect Ave, Park Ridge, IL 60068-3563 | 2006-11-22 |
| 1649382334 | Jozef Tryzno | Family Medicine | 760 Busse Hwy, Park Ridge, IL 60068-2402 | 2006-08-31 |
| 1508887183 | Blazej Lojewski | Family Medicine | 60 S Dee Rd Apt D, Park Ridge, IL 60068-3731 | 2006-07-21 |
| 1629005228 | Brian Allen Chicoine | Family Medicine | 1999 Dempster St, Park Ridge, IL 60068-1156 | 2006-06-27 |
| 1326028507 | Edward Koo | Family Medicine | 934 Wesley Dr, Park Ridge, IL 60068-2172 | 2006-01-22 |
| Find all providers in PARK RIDGE | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
Please comment or provide details below to improve the information on DR. MAUREEN E GROSDIDIER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.