Individual
MRS. LINDA DENISE GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19622 SEQUOIA AVE, LYNWOOD, IL 60411-6831
(708) 418-5310
(708) 474-7096
Mailing address
19622 SEQUOIA AVE, LYNWOOD, IL 60411-6831
(708) 418-5310
(708) 474-7096
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
2935015
IL
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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