Individual
KWESI GRANT-ACQUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 545-0182
(217) 545-4735
Mailing address
PO BOX 19656, SPRINGFIELD, IL 62794-9656
(217) 545-8853
(217) 545-0828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125-057253
IL
Other
Enumeration date
08/13/2009
Last updated
08/21/2012
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