IndividualActive
Mark Grant, MD
NPI 1316219546 · Geriatric Medicine (Family Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1316219546
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036075647 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
225 N Michigan Ave
Bcbsa
Chicago, IL 60601-7757
Phone: (312) 297-6216
Approximate (ZIP-level) locationGet directions
Mailing address
225 N Michigan Ave
Chicago, IL 60601-7757
Registry dates
- Enumerated
- 2012-02-03
- Last updated
- 2012-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.