Individual
CAMPSIE GROTHENDIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10024 SKOKIE BLVD, SUITE 304, SKOKIE, IL 60077-9944
(847) 677-8577
(847) 677-8574
Mailing address
10024 SKOKIE BLVD, SUITE 304, SKOKIE, IL 60077-9944
(847) 677-8577
(847) 677-8574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209000404
IL
Other
Enumeration date
08/25/2006
Last updated
11/08/2011
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