| Dr Jorge Granadillo De Luque, MD | |
|
1 Childrens Pl, Div Ped Genetics And Genomic Med, Saint Louis, MO 63110-1002 | |
| (314) 454-6093 | |
| (844) 965-9624 |
| Full Name | Dr Jorge Granadillo De Luque |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 1 Childrens Pl, Saint Louis, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952717902 | NPI | - | NPPES |
| 200054630 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2017041051 (Missouri) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | 2017041051 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jorge Granadillo De Luque, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 454-6093 | Dr Jorge Granadillo De Luque, MD 1 Childrens Pl, Div Ped Genetics And Genomic Med, Saint Louis, MO 63110-1002 Ph: (314) 454-6093 |