IndividualActive
Jacob Grodsky, MD
NPI 1063972875 · Retina Specialist (Ophthalmology) Physician · Naperville, IL
Provider details
- NPI number
- 1063972875
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036173027 (IL)
Practice location
636 Raymond Dr Ste 300
Naperville, IL 60563-9792
Phone: (331) 732-4370
Fax: (331) 732-4375
Mailing address
636 Raymond Dr Ste 300
Naperville, IL 60563-9792
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2025-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.