Peter Grant, Md, Ltd - Medicare Primary Care in Oak Park, IL

Peter Grant, Md, Ltd is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Oak Park, Illinois. The current practice location for Peter Grant, Md, Ltd is 1011 Lake St, Suite 300, Oak Park, Illinois. For appointments, you can reach them via phone at (708) 524-1747. The mailing address for Peter Grant, Md, Ltd is 1131 Lake St, #214, Oak Park, Illinois and phone number is (708) 524-1747.

Peter Grant, Md, Ltd is licensed to practice in Illinois (license number 036108911). The clinic also participates in the medicare program and its NPI number is 1306032297. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (708) 524-1747.

Contact Information

Peter Grant, Md, Ltd
1011 Lake St
Suite 300
Oak Park
IL 60301-1148
(708) 524-1747
Not Available

Primary Care Clinic Profile

Full NamePeter Grant, Md, Ltd
SpecialityClinic/Center
Location1011 Lake St, Oak Park, Illinois
Authorized Official Name and PositionPeter James Grant (PHYSICIAN)
Authorized Official Contact7085241747
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peter Grant, Md, Ltd
1131 Lake St
#214
Oak Park
IL 60301-1001

Ph: (708) 524-1747
Peter Grant, Md, Ltd
1011 Lake St
Suite 300
Oak Park
IL 60301-1148

Ph: (708) 524-1747

NPI Details:

NPI Number1306032297
Provider Enumeration Date09/24/2007
Last Update Date09/24/2007

Medicare PECOS Information:

Medicare PECOS PAC ID2163485608
Medicare Enrollment IDO20041105000845

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Medical Identifiers

Medical identifiers for Peter Grant, Md, Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306032297NPI-NPPES
03610891106MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 036108911 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Peter Grant, Md, Ltd acts as a billing entity for following providers:
Provider NamePeter J Grant
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306853858
PECOS PAC ID: 8325944382
Enrollment ID: I20031210000438

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