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1316219546
MARK GRANT
CHICAGO, IL
NPI
1316219546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
(Licence: IL 036075647)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
-- MARK GRANT MD
225 N MICHIGAN AVE BCBSA
CHICAGO, IL 60601-7757
Phone number: 312-297-6216
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Mailing Address
-- MARK GRANT MD
225 N MICHIGAN AVE BCBSA
CHICAGO, IL 60601-7757
Phone number: 312-297-6216
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