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Individual

MYRA GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2603 W 22ND ST STE 23, OAK BROOK, IL 60523-1237
(630) 629-2700
(866) 243-5066
Mailing address
2603 W 22ND ST, OAK BROOK, IL 60523-1213
(630) 629-2700
(866) 243-5066

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
IL

Other

Enumeration date
03/26/2026
Last updated
03/26/2026
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