Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Damian W Grivetti, MD

Individual provider Family Medicine Physician · NPI 1518970847

Dr. Damian W Grivetti, MD is a Family Practice in Granville, Illinois. Qualified in 2000, 26 years ago. Practices with Mendota Community Hospital, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

309 S McCoy
Granville, IL 61326-9333
Phone: (815) 339-6245
Fax: (815) 339-2617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036109350 (IL)

Record details

NPI number1518970847
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESAugust 25, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Mendota Community Hospital — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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