Wilfredo A Granada Md Ltd

LBN: Wilfredo A Granada Md Ltd
Wilfredo A Granada Md Ltd is an health care organization with primary practice located at 2629 Sheridan Rd Suite C, Zion IL 60099-2629. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Wilfredo A Granada Md Ltd can be contacted via phone (847) 872-5556, or through Granada, Wilfredo via phone (847) 872-5556.

Contact Information

Primary practice address
2629 Sheridan Rd Suite C Zion IL 60099-2629
Phone: (847) 872-5556
Fax: (847) 872-5570
Website:
Map and Directions
Authorized official contact:
Name: Granada, Wilfredo Doctor of Medicine (MD)
Phone: (847) 872-5556

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Illinois

Profile Details

NPI number 1205017597
LBN Legal business name Wilfredo A Granada Md Ltd
DBA Doing business as
Authorized official Granada, Wilfredo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2007
Last updated Jan 31st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205017597 NPPES
Illinois Other 212858 MEDICARE
Illinois Other 21604808 MEDICARE

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