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Individual

DR. CALVIN ALEXANDER GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7808 W COLLEGE DR, SUITE 1-NW, PALOS HEIGHTS, IL 60463-1027
(708) 499-0123
(708) 499-0611
Mailing address
7808 W COLLEGE DR, SUITE 1-NW, PALOS HEIGHTS, IL 60463-1027
(708) 499-0123
(708) 499-0611

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036111343
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036051267
IL
05
036111343
IL
01
1679551014
NPI
IL
01
205785
PTAN IL MEDICARE COOK COUNTY
IL
01
205786
PTAN IL MEDICARE DUPAGE COUNTY
IL
01
K47805
PTAN
IL
01
P00638025
MEDICARE RAILROAD IL
IL
Enumeration date
01/05/2006
Last updated
12/01/2009
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