Wilfredo A Granada Md Ltd in Zion - Primary Care
Wilfredo A Granada Md Ltd - NPI 1205017597
Wilfredo A Granada Md Ltd is a Primary Care in Zion, Illinois. Wilfredo A Granada Md Ltd practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Wilfredo A Granada Md Ltd is 1205017597. The last update date is 2008-01-31.
Wilfredo A Granada Md Ltd's current location address is 2629 Sheridan Rd, Zion, Illinois. You can contact this provider via phone number 8478725556 and fax number 8478725570. The mailing address for Wilfredo A Granada Md Ltd is 2629 Sheridan Rd, Zion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilfredo A Granada Md Ltd |
|---|---|
| Address | 2629 Sheridan Rd, Zion, Illinois |
| Phone Number | 8478725556 |
| Fax Number | 8478725570 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Granada Wilfredo |
| Credentials | M.D. |
| Telephone Number | 8478725556 |
NPI Number Detail
| NPI Number | 1205017597 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 2629 Sheridan Rd |
|---|---|
| City | Zion |
| State | Illinois (IL) |
| Post Code | 600992629 |
| Phone Number | 8478725556 |
| Fax Number | 8478725570 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 212858 | IL | MEDICARE | |
| 21604808 | IL | BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Wilfredo A Granada Md Ltd by the Centers for Medicare & Medicaid Services?
The Wilfredo A Granada Md Ltd has been issued the NPI (National Provider Identifier) 1205017597. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Wilfredo A Granada Md Ltd is physically located?
The Wilfredo A Granada Md Ltd is situated at the following address: 2629 Sheridan Rd, Zion, IL 600992629.
What is the Wilfredo A Granada Md Ltd's area of specialization and corresponding taxonomy classification?
The Wilfredo A Granada Md Ltd's specialty field is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their specialties.
On what date did the Wilfredo A Granada Md Ltd receive its 1205017597 assignment from the Centers for Medicare & Medicaid Services?
The Wilfredo A Granada Md Ltd was assigned its 1205017597 by the Centers for Medicare & Medicaid Services on 2007-11-15.
As of what date was the information pertaining to Wilfredo A Granada Md Ltd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wilfredo A Granada Md Ltd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-31.
NPI Number: 1699778829
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