Individual
MALEAH GRUSSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
108 ROBINSON ST, DANVILLE, IL 61832-8515
(217) 442-8611
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-8107
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209002985
IL
Other
Enumeration date
03/08/2007
Last updated
05/29/2024
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