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Contact Information

JOHN F GRADY, DPM
4650 SOUTHWEST HWY
OAK LAWN, IL60453-1836
 Phone: 708-424-3201
 Fax: 708-424-5001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOHN F GRADY · (Male)

NPI # 1194707059
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/16/2005
Last updated 12/07/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 016003163
  • IL Medicaid 016003163
  • IL Other 4064906 AETNA
  • IL Other 480030187 RR MEDICARE
Hospital affiliation(s)
  • ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER - (Acute Care)
    4440 W 95TH STREET
    OAK LAWN, IL 60453
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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