Individual
GRANT ZHIXUAN ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(312) 766-4949
(312) 766-4925
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(312) 766-4949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.086016
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/02/2021
Last updated
06/17/2025
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