Grant, Eliza Eva M.
Grant, Eliza Eva M. is an individual health care provider with primary practice located at 1800 Hollister Dr Suite 102, Libertyville IL 60048-5263. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grant, Eliza Eva M. can be contacted via phone (847) 680-3666.Contact Information
Primary practice address
1800 Hollister Dr Suite 102
Libertyville IL 60048-5263
Phone: (847) 680-3666
Fax: (847) 680-3994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 309000225 | Illinois |
Profile Details
| NPI number | 1538155734 |
|---|---|
| LBN Legal business name | Grant, Eliza Eva M. |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 7th, 2010 - about 16 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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