KELLY GROTT NPI 1801328695

NPI Information

NPI: 1801328695
Provider Name: KELLY GROTT
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
251 E HURON ST
CHICAGO, IL
ZIP 60611
Phone: (312) 694-2637
Get Directions

Kelly Grott is an interventional pain medicine pain medicine in Chicago, IL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Kelly Grott NPI is 1801328695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

251 E HURON ST
CHICAGO, IL
ZIP 60611-908
Phone: (312) 694-2637

The NPI 1801328695 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/30/2017 and was last updated on 6/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		11020205A	INDIANA	No
2	207R00000X	Internal Medicine		MED-RES-LIC-58231	MONTANA	No
3	208VP0014X	Pain Medicine	Interventional Pain Medicine	036156733	ILLINOIS	Yes
4	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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