IndividualActive
Abigail Grover, PA-C
NPI 1639804172 · Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1639804172
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085.009047 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327
Phone: (773) 248-2255
Approximate (ZIP-level) locationGet directions
Mailing address
1203 W Augusta Blvd Ste 1
Chicago, IL 60642-4327
Registry dates
- Enumerated
- 2022-07-19
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.