Provider Demographics
NPI:1053622639
Name:GROB, NATALIA M (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:M
Last Name:GROB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:333 S DESPLAINES ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-5514
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 JOSEPHINE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4750
Practice Address - Country:US
Practice Address - Phone:720-370-5671
Practice Address - Fax:720-378-4375
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-29
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036167910207VE0102X
MN76253207VE0102X
WAMD61490460207VE0102X
NE36094207VE0102X
COCDRH.0053437207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology