Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grant Woodside, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477356731

Grant Woodside, MD is a Student in an Organized Health Care Education/Training Program in Park Ridge, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1775 Ballard Rd Fl 2
Park Ridge, IL 60068-1005
Phone: (847) 318-6020
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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 · Licence 125.086652 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477356731
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2025
Last updated in NPPESJune 16, 2025
Certification dateJune 16, 2025
Mailing address1775 Ballard Rd Fl 2, Park Ridge, IL 60068-1005

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