Individual
GRETCHEN YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 E ERIE ST, CHICAGO, IL 60611-2987
(610) 212-4235
Mailing address
4053 N GREENVIEW AVE UNIT 2, CHICAGO, IL 60613-1923
(610) 212-4235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209.018880
IL
363LF0000X
Family Nurse Practitioner
Primary
12772236-4405
UT
Other
Enumeration date
02/10/2019
Last updated
10/20/2022
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