Individual
MRS. GLADYS LARSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7901 W 159TH ST STE B, TINLEY PARK, IL 60477-1881
(312) 279-9814
Mailing address
7901 W 159TH ST STE B, TINLEY PARK, IL 60477-1881
(312) 279-9814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277.001014
IL
363L00000X
Nurse Practitioner
G182168
IA
363LF0000X
Family Nurse Practitioner
277001014
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277001014
IL
Other
Enumeration date
06/26/2016
Last updated
01/21/2026
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