Grayhack, John

Grayhack, John is an individual health care provider with primary practice located at 225 E Chicago Ave # 69 Lurie Children'S Hospital Of Chicago, Chicago IL 60611-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Grayhack, John can be contacted via phone (312) 227-6190.

Contact Information

Primary practice address
225 E Chicago Ave # 69 Lurie Children'S Hospital Of Chicago Chicago IL 60611-2991
Phone: (312) 227-6190
Fax: (312) 227-9404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036072869 Illinois

Profile Details

NPI number 1043205966
LBN Legal business name Grayhack, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Feb 15th, 2013 - about 13 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 1043205966 NPPES
Illinois MEDICAID 036072869
Illinois Other 1627123
Illinois MEDICAID 82419800

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