Individual provider · Type 1 NPI
Andrea Marie Grancher, PA-C
Medical Physician Assistant · Chicago, IL
NPI number
1669754511
Active
Practice location
737 N Michigan Ave Ste 760
Chicago, IL 60611-6662
Mailing address
1419 W Chicago Ave Unit 1
Chicago, IL 60642-8261
Other practice locations
- 1653 W Congress Pkwy, Chicago, IL 60612-3833 · (312) 942-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 4968 (AZ) |
| Medical Physician Assistant Primary | 363AM0700X | 085.005028 (IL) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1669754511
Andrea Marie Grancher, PA-C's National Provider Identifier is 1669754511, issued on Sep 16, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Dec 3, 2018.