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WILFREDO A GRANADA MD LTD
NPI 1205017597
Clinic/Center - Primary Care in Zion, IL

Active since November 15, 2007
2629 SHERIDAN RD, SUITE C, ZION, IL 60099(847) 872-5556(847) 872-5570 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wilfredo A Granada Md Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILFREDO A GRANADA MD LTD (NPI 1205017597) is a healthcare organization registered as a primary care in Zion, Illinois and active in the NPI registry since November 2007. The organization lists Wilfredo Granada, Physician, as its authorized official.

NPPES Registry Identity

NPI1205017597
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWILFREDO A GRANADA MD LTD
Location Address2629 SHERIDAN RD, SUITE CZion, IL 60099-2629
Mailing Address2629 Sheridan Rd, Suite CZion, IL 60099-2629 · (847) 872-5556 · Fax (847) 872-5570
Phone(847) 872-5556
Fax(847) 872-5570
Organization SubpartNo
Authorized OfficialWilfredo GranadaPhysician · (847) 872-5556
Enumeration DateNovember 15, 2007
Last NPPES UpdateJanuary 31, 2008
✔ NPI 1205017597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2629 SHERIDAN RD, Zion, IL 60099
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Other Identifiers 3

Other21604808IL · Blue Cross
Medicare UPINC44602IL
Other212858IL · Medicare

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY KEITH BERGIN DC, DABCI
Chiropractor (Internist)
2629 SHERIDAN RD, SUITE 1A
ZION, IL 60099
Lake County (847) 872-8230
JEFFREY K . BERGIN, DC, DABCI, SC
Chiropractor (Internist)
2629 SHERIDAN RD, SUITE 1A
ZION, IL 60099
Lake County (847) 872-8230
DR. DEEPAK BAHADUR MANRAL DC
Chiropractor
2629 SHERIDAN RD, SUITE 1A
ZION, IL 60099
Lake County (847) 872-8230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilfredo A Granada MD Ltd's NPI number?

The NPI number for Wilfredo A Granada MD Ltd is 1205017597. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Wilfredo A Granada MD Ltd located?

Wilfredo A Granada MD Ltd is located at 2629 Sheridan Rd Suite C, Zion, IL 60099. The listed phone number is (847) 872-5556.

What is Wilfredo A Granada MD Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Wilfredo A Granada MD Ltd was last updated on January 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.