| Doctor Name: | MR. WESLEY DREXLER GROVES |
| NPI Number: | 1184889586 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 070016476 |
| Business Practice Address: | 850 Brook Forest Ave Shorewood, IL - 604048513 |
| Business Phone Number: | 8157251919 |
| Business Fax Number: | |
| Mailing Address: | 850 Brook Forest Ave, SHOREWOOD |
| State: | IL |
| Postal Code: | 604048513 |
| Phone Number: | 8157251919 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2008 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 070016476 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |