Search › Illinois › 122300000X
Lion Grenader, DMD
NPI 1720501380 · on the registry since 2017
Practice
- Address
- 644 Sheridan Rd # D
Winthrop Harbor, IL 60096 - Phone
- (847) 872-5626
Additional practice sites
- 417 E Il Route 173 Unit 113, Antioch, IL
- 10904 N Main St, Richmond, IL
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois