Provider Demographics
NPI:1972748325
Name:GRANDVIEW HEALTH PARTNERS, LTD.
Entity Type:Organization
Organization Name:GRANDVIEW HEALTH PARTNERS, LTD.
Other - Org Name:DOCTORES Y MAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-716-9500
Mailing Address - Street 1:PO BOX 29088
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-0088
Mailing Address - Country:US
Mailing Address - Phone:773-585-5900
Mailing Address - Fax:
Practice Address - Street 1:5614 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-4420
Practice Address - Country:US
Practice Address - Phone:773-585-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010385111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty