Individual
DR. IAN MICHAEL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
676 N SAINT CLAIR ST STE 945, CHICAGO, IL 60611-2952
(312) 695-9627
Mailing address
320 E SUPERIOR ST # 11, CHICAGO, IL 60611-3010
(312) 908-9339
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036139937
IL
Other
Enumeration date
06/25/2012
Last updated
07/29/2016
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