Individual
CARLOS L GRANDELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 131, MESA, AZ 85210-3088
(480) 924-8755
(480) 854-1864
Mailing address
3241 S MICHIGAN AVE, CHICAGO, IL 60616-4201
(312) 949-7751
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011198
IL
Other
Enumeration date
04/17/2018
Last updated
01/10/2024
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