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

Dr. Michael Samuel Grossman, MD

Individual provider Surgery Physician · NPI 1215016662

Dr. Michael Samuel Grossman, MD is a Surgery Physician in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois, Louisiana and South Carolina.

Licensed in
IL, LA, SC
In the registry since
2006
Specialties on file
4
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

4505 N Rockwood Dr
Peoria, IL 61615-3803
Phone: (309) 589-1880
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 036128242 (IL)
Surgery Physician Taxonomy 208600000X · Licence 29207 (SC)
Ophthalmology Physician Taxonomy 207W00000X · Licence 202629 (LA)
General Practice Physician Taxonomy 208D00000X · Licence 036128242 (IL)

Record details

NPI number1215016662
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 6, 2006
Last updated in NPPESJune 6, 2023
Certification dateJune 6, 2023

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