Individual provider Active NPI

Stephen Damien Grill, M.D.

  • Gastroenterology Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1366559858
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-057396 Issued in IL
Practice address
2 Transam Plaza Dr
Suite 100
Oakbrook Terrace, IL 60181-4823
Phone
(630) 833-0653
Fax
(630) 932-3437
NPI assigned
Aug 23, 2006
Last updated
Jan 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036-057396 IL Primary

Addresses

Primary practice location

2 Transam Plaza Dr
Suite 100
Oakbrook Terrace, IL 60181-4823

Mailing address

1860 Paysphere Cir
Suite 100
Chicago, IL 60674-0018
Phone (630) 833-0653

Other identifiers 1

IdentifierTypeStateIssuer
036-057396MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-057396ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Digestive Disease Specialists,S C Gastroenterology Current Accepting new patients

Locations

360 W Butterfield Rd
Elmhurst, IL 60126
Phone (312) 833-0653

1220 Hobson Rd
Ste 220
Naperville, IL 60540
Phone (312) 909-4859

2 Transam Plaza Dr
Ste 100
Oakbrook Terrace, IL 60181
Phone (630) 833-0653

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1366559858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-833-0653",
            "fax_number": "630-932-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRANSAM PLAZA DR",
            "address_2": "SUITE 100",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814823",
            "telephone_number": "630-833-0653",
            "fax_number": "630-932-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILL",
        "first_name": "STEPHEN",
        "middle_name": "DAMIEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-057396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-057396",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.