CODY GROTTS

SPRINGFIELD, IL
NPI1811551922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  036165091)
Enumeration Date2019-04-24
Last Update Date2023-09-22
Business Address
CODY GROTTS MD
701 N 1ST ST
SPRINGFIELD, IL 62781-1009
Phone number: 217-788-3000
Mailing Address
CODY GROTTS MD
701 N 1ST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3000