Grady, John F

Grady, John F is an individual health care provider with primary practice located at 4650 Southwest Hwy , Oak Lawn IL 60453-1836. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Grady, John F can be contacted via phone (708) 424-3201.

Contact Information

Primary practice address
4650 Southwest Hwy Oak Lawn IL 60453-1836
Phone: (708) 424-3201
Fax: (708) 424-5001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016003163 Illinois

Profile Details

NPI number 1194707059
LBN Legal business name Grady, John F
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Dec 7th, 2021 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194707059 NPPES
Illinois Other 4064906 AETNA
Illinois Other 480030187 AETNA
Illinois MEDICAID 016003163 AETNA

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