Chavin, Grant S
Chavin, Grant S is an individual health care provider with primary practice located at 17901 Governors Hwy Suite 202, Homewood IL 60430-1144. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chavin, Grant S can be contacted via phone (708) 957-0220.Contact Information
Primary practice address
17901 Governors Hwy Suite 202
Homewood IL 60430-1144
Phone: (708) 957-0220
Fax: (708) 957-4519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036127701 | Illinois |
Profile Details
| NPI number | 1548284730 |
|---|---|
| LBN Legal business name | Chavin, Grant S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jan 2nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548284730 | NPPES |
| Indiana | Other | P00842461 | MEDICARE RAILROAD |
| Indiana | MEDICAID | 200987870 | MEDICARE RAILROAD |
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