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Individual

DAVID B GRANATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1455 GOLF RD, STE 212, DES PLAINES, IL 60016
(847) 297-1800
(847) 297-2757
Mailing address
6910 S MADISON ST, WILLOWBROOK, IL 60527
(630) 321-2788
(630) 323-1699

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036080275
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036080275
IL
01
1615479
BCBS
01
300024281
RR
01
CN0576
GR
Enumeration date
03/02/2006
Last updated
09/13/2018
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