| Doctor Name: | ANDREW RAY GROVER |
| NPI Number: | 1306141338 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 085.003951 |
| Business Practice Address: | 22285 N Pepper Rd Ste 401 Lake Barrington, IL - 600102542 |
| Business Phone Number: | 8478826604 |
| Business Fax Number: | |
| Mailing Address: | 1718 E Maya Ln, MT PROSPECT |
| State: | IL |
| Postal Code: | 600561655 |
| Phone Number: | 8476827318 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2011 |
| NPI Last Update Date: | 04/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 085.003951 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |