William G Grant O.D.

NPI 1063569317 - Optometrist - 152W00000X

NPI Details
NPI 1063569317
Gender Male
Enumeration Date 01/05/2007
Last Updated 08/10/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
8718 HARVEST VIEW LN
TINLEY PARK IL, 60487-2113, US
Phone (815) 260-6884
Fax (815) 469-6844
Business Location
8718 HARVEST VIEW LN
TINLEY PARK IL, 60487-2113, US
Phone (815) 260-6884
Fax (815) 469-6844
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 46008275
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According to our database, William G Grant O.D. NPI is 1063569317, taxonomy code is 152W00000X and license number is 46008275, license state is located at Illinois. William G Grant O.D. physically located at 8718 Harvest View Ln, Tinley Park IL, 60487-2113. NPI Number William G Grant O.D. has the Individual type.

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1063569317 NPI number is provided on an as is basis without warranty of any kind. 1063569317 is maintained by the National Plan & Provider Enumeration System. The contents of William G Grant O.D. are for informational purposes only.