Grant, Calvin Alexander

Grant, Calvin Alexander is an individual health care provider with primary practice located at 7808 W College Dr Suite 1-Nw, Palos Heights IL 60463-1027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grant, Calvin Alexander can be contacted via phone (708) 499-0123.

Contact Information

Primary practice address
7808 W College Dr Suite 1-Nw Palos Heights IL 60463-1027
Phone: (708) 499-0123
Fax: (708) 499-0611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036111343 Illinois

Profile Details

NPI number 1679551014
LBN Legal business name Grant, Calvin Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Dec 1st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679551014 NPPES
Illinois Other 205786 PTAN IL MEDICARE DUPAGE COUNTY
Illinois MEDICAID 036111343 PTAN IL MEDICARE DUPAGE COUNTY
Illinois Other 205785 PTAN IL MEDICARE DUPAGE COUNTY
Illinois MEDICAID 036051267 PTAN IL MEDICARE DUPAGE COUNTY
Illinois Other P00638025 PTAN IL MEDICARE DUPAGE COUNTY
Illinois Other 1679551014 PTAN IL MEDICARE DUPAGE COUNTY
Illinois Other K47805 PTAN IL MEDICARE DUPAGE COUNTY

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