Individual
DR. GRANT EDWARD GARRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(708) 236-2600
Mailing address
1 WESTBROOK CORPORATE CTR STE 240, ATTN: CREDENTIALING DEPT, WESTCHESTER, IL 60154
(708) 236-2673
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD438684
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01082491A
IN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036-147187
IL
Other
Enumeration date
04/22/2008
Last updated
12/27/2019
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