# ADVANCED RETINAL INSTITUTE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760666754
- **Authorized official:** DR. CALVIN ALEXANDER GRANT (PRESIDENT)
- **Authorized official phone:** (708) 499-0123

## Contact information

- **Practice address:** 7808 W COLLEGE DR, 1NW, PALOS HEIGHTS, IL 60463-1027
- **Practice address phone:** (708) 499-0123
- **Practice address fax:** (708) 499-0611
- **Mailing address:** 7808 W COLLEGE DR, 1NW, PALOS HEIGHTS, IL 60463-1027
- **Mailing address phone:** (708) 499-0123
- **Mailing address fax:** (708) 499-0611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036111343 | IL | Yes |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 07/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036111343 | — | IL |
| 01 | — | 1760666754 | NPI | IL |
| 01 | — | 216010 | PTAN | IL |
| 05 | — | 217046046 | — | IL |
