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Linda Granger

NPI 1194999235 · on the registry since 2008 · sole proprietor

Practice

Address
19622 Sequoia Ave
Lynwood, IL 60411
Phone
(708) 418-5310
Fax
(708) 474-7096

Registry record

Primary taxonomy
347C00000X
347C00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois