Grande, Anthony A
Grande, Anthony A is an sole proprietor health care provider with primary practice located at 711 W Devon , Park Ridge IL 60068-4713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Grande, Anthony A can be contacted via phone (847) 696-3176.Contact Information
Primary practice address
711 W Devon
Park Ridge IL 60068-4713
Phone: (847) 696-3176
Fax: (847) 696-2678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036081102 | Illinois |
Profile Details
| NPI number | 1477558377 |
|---|---|
| LBN Legal business name | Grande, Anthony A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Mar 31st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477558377 | NPPES |
| Illinois | MEDICAID | 036081102 |
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