Grant, Emanuel
Grant, Emanuel is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Grant, Emanuel can be contacted via phone (773) 702-6435.Contact Information
Primary practice address
5841 S Maryland Ave
Chicago IL 60637-1443
Phone: (773) 702-6435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125077656 | Illinois |
Profile Details
| NPI number | 1669053799 |
|---|---|
| LBN Legal business name | Grant, Emanuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2021 |
| Last updated | Aug 10th, 2021 - about 4 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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