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Individual

MS. CARISSA M GRIFFITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1600 W DEMPSTER ST, PARK RIDGE, IL 60068-1109
(847) 299-7888
Mailing address
1600 W DEMPSTER ST, PARK RIDGE, IL 60068-1109
(847) 299-7888

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IL

Other

Enumeration date
02/16/2009
Last updated
02/16/2009
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