Grant, Mark

Grant, Mark is an sole proprietor health care provider with primary practice located at 225 N Michigan Ave Bcbsa, Chicago IL 60601-7757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Grant, Mark can be contacted via phone (312) 297-6216.

Contact Information

Primary practice address
225 N Michigan Ave Bcbsa Chicago IL 60601-7757
Phone: (312) 297-6216
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036075647 Illinois

Profile Details

NPI number 1316219546
LBN Legal business name Grant, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2012
Last updated Feb 3rd, 2012 - about 14 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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