Granzotti, Maria

Granzotti, Maria is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Granzotti, Maria can be contacted via phone (217) 876-3000.

Contact Information

Primary practice address
2300 N Edward St Decatur IL 62526-4163
Phone: (217) 876-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036083305 Illinois

Profile Details

NPI number 1427187509
LBN Legal business name Granzotti, Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 13th, 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 1427187509 NPPES
Illinois MEDICAID 036083305-1
Illinois Other 5823820
Illinois MEDICAID 036083305-6
Illinois Other 930108480

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