Koster, Grant Ryan
Koster, Grant Ryan is an individual health care provider with primary practice located at 6000 W. Touhy Suite 202, Chicago IL 60646. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Koster, Grant Ryan can be contacted via phone (773) 774-4291.Contact Information
Primary practice address
6000 W. Touhy Suite 202
Chicago IL 60646
Phone: (773) 774-4291
Fax: (773) 774-4527
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 096-001522 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070012664 | Illinois |
Profile Details
NPI number | 1043289168 |
---|---|
LBN Legal business name | Koster, Grant Ryan |
Credentials | PT, MSPT, ATC, CSCS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2006 |
Last updated | Feb 24th, 2017 - about 7 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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