Peter Grant, Md, Ltd

LBN: Peter Grant, Md, Ltd
Peter Grant, Md, Ltd is an health care organization with primary practice located at 1011 Lake St Suite 300, Oak Park IL 60301-1148. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Peter Grant, Md, Ltd can be contacted via phone (708) 524-1747, or through Grant, Peter James via phone (708) 524-1747.

Contact Information

Primary practice address
1011 Lake St Suite 300 Oak Park IL 60301-1148
Phone: (708) 524-1747
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grant, Peter James Doctor of Medicine (MD)
Phone: (708) 524-1747

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036108911 Illinois

Profile Details

NPI number 1306032297
LBN Legal business name Peter Grant, Md, Ltd
DBA Doing business as
Authorized official Grant, Peter James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 24th, 2007
Last updated Sep 24th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306032297 NPPES
Illinois MEDICAID 03610891106

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