Individual
SEAN T GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 285-4375
Mailing address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 285-4200
(847) 802-7162
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006791
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1047309396
—
WI
Enumeration date
07/27/2016
Last updated
11/02/2023
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