GRADY HEDSTROM

CHICAGO, IL
NPI1275945784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL  036144132)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  036144132)
207R00000X Internal Medicine
(Licence: IL  125064596)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IL  036144132)
Enumeration Date2014-06-02
Last Update Date2021-06-10
Business Address
GRADY HEDSTROM MD
5841 S. MARYLAND AVE MC 6076
CHICAGO, IL 60637-1443
Phone number: 773-702-1856
Mailing Address
GRADY HEDSTROM MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150