Wilfredo a Granada MD LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WILFREDO A GRANADA MD LTD

Practice address

2629 Sheridan Rd
Suite C
Zion, IL 60099-2629

Phone

(847) 872-5556

Fax

(847) 872-5570

NPI assigned

Nov 15, 2007

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wilfredo Granada, M.D.

Title

Physician

Phone

(847) 872-5556

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lizel Ann Granada, NP-C

  • Family Nurse Practitioner
  • Pleasant Prairie, WI
  • NPI 1619213618
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1205017597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 SHERIDAN RD",
            "address_2": "SUITE C",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992629",
            "telephone_number": "847-872-5556",
            "fax_number": "847-872-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 SHERIDAN RD",
            "address_2": "SUITE C",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992629",
            "telephone_number": "847-872-5556",
            "fax_number": "847-872-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILFREDO A GRANADA MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "GRANADA",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-872-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "212858",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "21604808",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Brianna Nicole Welbourn, MS, CCC, SLP
• Irma Whiteside, SOCIAL WORK
• Kim Whiteside
• Alan Richard Wielgos, D.D.S.
• Amy Anne Wisniewski
• Jewel Woodard
• Carissa Wozny
• Brittany Wyld, RN
• Syeda Yasmeen, PHARMD

• Primary Care Clinic/Center in Zion, IL
• Providers in Zion, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.