Individual
DR. JENNIFER L. GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 CENTRAL ST STE 800, EVANSTON, IL 60201-1780
(847) 657-5959
(847) 657-5764
Mailing address
1000 CENTRAL ST STE 800, EVANSTON, IL 60201-1780
(847) 657-5959
(847) 657-5764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036130141
IL
207RI0200X
Infectious Disease Physician
Primary
036130141
IL
Other
Enumeration date
09/11/2009
Last updated
04/02/2021
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