Organization · Type 2 NPI

Peter Grant, Md, Ltd

Primary Care Clinic/Center · Oak Park, IL

NPI number 1306032297 Active

Practice location

1011 Lake St, Suite 300
Oak Park, IL 60301-1148

Mailing address

1131 Lake St, #214
Oak Park, IL 60301-1001

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X036108911 (IL)

Primary Care Clinic/Center: Definition to come...

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About NPI 1306032297

Peter Grant, Md, Ltd's National Provider Identifier is 1306032297, issued on Sep 24, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Oak Park, IL. The record was last updated on Sep 24, 2007.