Individual
DR. GRADY M. WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 BIESTERFIELD RD, SUITE 310, ELK GROVE VILLAGE, IL 60007-3392
(847) 952-9332
(847) 952-9338
Mailing address
120 W 22ND ST STE 300, NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS, OAK BROOK, IL 60523-4071
(630) 573-5000
(630) 368-0331
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036115166
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115166
—
IL
Enumeration date
06/11/2007
Last updated
04/29/2025
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