institution
Wilfredo A Granada Md Ltd
Primary Care Clinic/Center in Zion, Illinois
NPI 1205017597

Wilfredo A Granada Md Ltd is a Primary Care Clinic/Center based in Zion, IL and is specialized in Primary Care. Wilfredo A Granada Md Ltd practices in Zion, IL. The NPI Number for Wilfredo A Granada Md Ltd is 1205017597 and holds a License No. (Illinois).

The current practice location address for Wilfredo A Granada Md Ltd is 2629 Sheridan Rd, Zion, IL and can be reached out via phone at 847-872-5556 and via fax at 847-872-5570.

Location: 2629 Sheridan Rd, Zion, IL, 60099-2629
institution
Provider Profile Details
NPI Number
1205017597
Provider Name
Wilfredo A Granada Md Ltd
Credential
Provider Entity Type
Organization
Address
2629 Sheridan Rd, Zion, IL, 60099-2629
Phone Number
847-872-5556
Fax Number
847-872-5570
Provider Enumeration Date
11/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212858 01 IL MEDICARE
21604808 01 IL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2629 Sheridan Rd
City
State
Zip
60099-2629
Phone Number
847-872-5556
Fax Number
847-872-5570
person
Provider Business Mailing Address Details
Address
2629 Sheridan Rd
City
State
Zip
60099-2629
Phone Number
847-872-5556
Fax Number
847-872-5570
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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