Individual
MARIA ISABEL GRANADILLO CASTELLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 666-3494
Mailing address
13707 SW 152ND ST, MIAMI, FL 33177-1106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.075790
IL
207Q00000X
Family Medicine Physician
Primary
125075790
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
07/20/2023
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