Individual
DR. MICHAEL J. MCGRAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3860 W 95TH ST, SUITE 6, EVERGREEN PARK, IL 60805-2034
(708) 425-3900
(708) 425-3939
Mailing address
3860 W 95TH ST, SUITE 6, EVERGREEN PARK, IL 60805-2034
(708) 425-3900
(708) 425-3939
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
336082703
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-068995
STATE LICENSE
IL
Enumeration date
10/21/2008
Last updated
06/15/2010
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