Individual
MRS. GRANVIA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 318-9330
Mailing address
1784 CENTRAL RD, GLENVIEW, IL 60025-4227
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056-005918
IL
Other
Enumeration date
10/18/2005
Last updated
09/07/2023
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