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Individual

CAITLIN GREENFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
12850 S ASHLAND AVE, CALUMET PARK, IL 60827-6308
(708) 972-7958
Mailing address
12850 S ASHLAND AVE, CALUMET PARK, IL 60827-6308

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041.446555
IL
363L00000X
Nurse Practitioner
Primary
209.026074
IL

Other

Enumeration date
03/04/2022
Last updated
02/15/2023
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