DR. Teresa E Grant, MD

NPI #1922091412 in Sandwich, Illinois

Provider Information

NPI Number: 1922091412
Entity Type: Individual
Name: DR. Teresa E Grant, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Aug 30, 2005
Last Updated: Mar 4, 2021

Practice Location

Address: 1 E COUNTYLINE RD
City: Sandwich
State: Illinois
ZIP Code: 60548-2178
Phone: (815) 786-2722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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