SearchIllinois207QG0300X

Mark Grant, MD

NPI 1316219546 · on the registry since 2012 · sole proprietor

Practice

Address
225 N Michigan Ave
Bcbsa
Chicago, IL 60601
Phone
(312) 297-6216
Organisation at this address
Zaar Llc
Nocd, Inc
Nocd, Inc
Nocd Michigan Pc
Nocd Kentucky Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
207QG0300X
207QG0300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-03

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