Individual
DR. GRANT S CHAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17901 GOVERNORS HWY, SUITE 202, HOMEWOOD, IL 60430-1144
(708) 888-8287
(708) 957-4519
Mailing address
17901 GOVERNORS HWY STE 102, HOMEWOOD, IL 60430-1145
(708) 888-8287
(708) 957-4519
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036127701
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200987870
—
IN
01
—
P00842461
MEDICARE RAILROAD
IN
Enumeration date
07/27/2006
Last updated
04/16/2025
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