IndividualActive
Grant Hallock, DO
NPI 1225666357 · Critical Care Medicine (Internal Medicine) Physician · Park Ridge, IL
Provider details
- NPI number
- 1225666357
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 036.166239 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1775 Dempster St
Park Ridge, IL 60068-1143
Phone: (847) 723-2210
Fax: (847) 723-6987
Approximate (ZIP-level) locationGet directions
Mailing address
1646 River St Unit 701
Des Plaines, IL 60016-8418
Registry dates
- Enumerated
- 2020-04-01
- Last updated
- 2024-03-28
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.