Peter Grant, MD, LTD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036108911 Issued in IL

Legal business name

PETER GRANT, MD, LTD

Practice address

1011 Lake St
Suite 300
Oak Park, IL 60301-1148

Phone

(708) 524-1747

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter James Grant, MDNPI 1306853858

Title

Physician

Phone

(708) 524-1747

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter James Grant, M.D.

  • Family Medicine Physician
  • Oak Park, IL
  • NPI 1306853858
  Medicare reassignment Authorized official
• Paul Clifford Ellstein, D.C.

  • Chiropractor
  • Oak Park, IL
  • NPI 1427112697
  NPD (past)
• Stephanie Harris, D.C.

  • Chiropractor
  • Oak Park, IL
  • NPI 1689613390
  NPD (past)
• Jessica L Keating, DC, ND

  • Chiropractor
  • Lombard, IL
  • NPI 1760928626

  Multi-Specialty

  NPD (past)
• Aaron Douglas Wilkin, D.C.

  • Chiropractor
  • Charlevoix, MI
  • NPI 1972790525
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1306032297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 LAKE ST",
            "address_2": "#214",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011001",
            "telephone_number": "708-524-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST",
            "address_2": "SUITE 300",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011148",
            "telephone_number": "708-524-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER GRANT, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-524-1747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036108911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03610891106",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lenora Perkins
• Samara D Perkins
• Rachel Perley, LCSW
• John Joseph Perna, D.D.S.
• Carmel Perrone, LCSW
• Peter Varga MD SC
• Emma Kate Peterson
• Kara Peterson, LPC
• Kristina Peterson, PH.D., NCC, LPC
• Petersons Perscription Pharmacy Inc (Petersons Prescription Pharmacy)

• Primary Care Clinic/Center in Oak Park, IL
• Providers in Oak Park, 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 Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.