Individual
JULIE A GRANDOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1340 RYAN PKWY, ALGONQUIN, IL 60102-4527
(815) 477-7350
(815) 477-7351
Mailing address
1340 RYAN PKWY, ALGONQUIN, IL 60102-4527
(815) 477-7350
(815) 477-7351
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209022068
IL
363LF0000X
Family Nurse Practitioner
209022068
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06202683
BOARD CERT
IL
Enumeration date
10/05/2020
Last updated
10/10/2025
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