NPI | 1093080640 |
---|---|
Doing Business As | GRAND MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | DHANA GANESAN Medical Director 708-405-6200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2012-03-15 |
Last Update Date | 2012-03-15 |