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Contact Information

MARK GRANT, MD
225 N MICHIGAN AVE
BCBSA
CHICAGO, IL60601-7757
 Phone: 312-297-6216
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARK GRANT · (Male)

NPI Number 1316219546
Status Active
Credentials MD
Entity Individual
Enumeration date 02/03/2012
Last updated 02/03/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036075647
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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