WEST GRAND CLINIC,LTD

CHICAGO, IL
NPI1346434776
Entity TypeOrganization
Authorized ContactMARIA GIACCHINO
Administrator
312-636-9544
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2007-08-29
Last Update Date2007-08-29
Business Address
WEST GRAND CLINIC,LTD
1851 W GRAND AVE
CHICAGO, IL 60622
Phone number: 312-455-2801
Mailing Address
WEST GRAND CLINIC,LTD
1851 W GRAND AVE
CHICAGO, IL 60622
Phone number: 312-455-2801