Irma Grantt

NPI #1073085338 in Lombard, Illinois

Provider Information

NPI Number
1073085338
Entity Type
Individual
Name
Irma Grantt
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center
Enumeration Date
Dec 27, 2018
Last Updated
Dec 27, 2018

Practice Location

Address
2200 S MAIN ST STE 309
ZIP Code
60148-5366
Phone
(773) 966-2762

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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