Individual
TAMILA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8420 W BRYN MAWR AVE STE 300, CHICAGO, IL 60631-3436
(312) 933-4014
Mailing address
PO BOX 443, CHICAGO, IL 60690-0443
(708) 831-8282
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
336098897
IL
Other
Enumeration date
03/23/2011
Last updated
10/26/2021
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