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Individual

DR. PAUL D GRANOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4789 ROUTE 71, OSWEGO, IL 60543-7415
(630) 898-5969
(630) 898-5837
Mailing address
1256 WATERFORD DRIVE, SUITE 230, AURORA, IL 60504
(630) 499-2404
(630) 499-2399

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-040569
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360405691
IL
Enumeration date
05/18/2006
Last updated
07/07/2017
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