Physician Compare National (NPI:1679551014)

HEALTHCARE PROVIDER: CALVIN ALEXANDER GRANT M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1679551014
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082686639
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040901000563
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRANT
	Individual professional last name
Provider First Name	CALVIN
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7808 W COLLEGE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1NW
	Group Practice or individual's line 2 address
City	PALOS HEIGHTS
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	604631097
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140062
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PALOS COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140054
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MACNEAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140179
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LITTLE COMPANY OF MARY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y