Wilfredo a Granada MD Ltd

NPI #1205017597 in Zion, Illinois

Provider Information

NPI Number
1205017597
Entity Type
Organization
Organization Name
Wilfredo a Granada MD Ltd
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 15, 2007
Last Updated
Jan 31, 2008

Practice Location

Address
2629 SHERIDAN RD
Address 2
SUITE C
City
Zion
ZIP Code
60099-2629
Phone
(847) 872-5556

Authorized Official

Name
DR. WILFREDO GRANADA, M.D.
Title
PHYSICIAN
Phone
(847) 872-5556

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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