Grand Prairie Services
Grand Prairie Services is a Family Medicine Physician in Chicago Heights, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
450 W 14th StChicago Heights, IL 60411-2463
Phone: (708) 985-3040
Fax: (708) 474-8144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1629550892 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sharronne Ward — President And Ceo · (708) 444-1012 |
| NPI enumerated | September 4, 2018 |
| Last updated in NPPES | November 20, 2023 |
| Certification date | November 20, 2023 |
| Mailing address | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 |
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