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Individual

DR. CHRISTOPHER WERNER GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
336.104533
IL
2085N0700X
Neuroradiology Physician
Primary
65519-20
WI
2085R0202X
Diagnostic Radiology Physician
65519-20
WI

Other

Enumeration date
06/20/2011
Last updated
02/26/2024
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