Individual provider · Type 1 NPI
Irma Grantt
Clinic/Center · Lombard, IL
NPI number
1073085338
Active
Practice location
2200 S Main St Ste 309
Lombard, IL 60148-5366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
About NPI 1073085338
Irma Grantt's National Provider Identifier is 1073085338, issued on Dec 27, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lombard, IL. The record was last updated on Dec 27, 2018.