Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036.132176 | IL |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD045301 | DC |
N | 207RC0000X | Internist - Cardiovascular Disease | 036.132176 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | MD045301 | DC |
NPI | 1396065249 |
---|---|
Provider Name | Jonathan Grinstein |
First Address | Burr Ridge, IL 60527-5965 |
Second Address | Chicago, IL 60637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2010 |
Last Update Date | 16/09/2019 |