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Individual

MRS. PATRICE KATHLEEN GRIFFIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDM,CMSO

Contact information

Practice address
2525 S MICHIGAN AVE, B-522, CHICAGO, IL 60616-2333
(312) 567-5593
(312) 567-6156
Mailing address
2525 S MICHIGAN AVE, B-522, CHICAGO, IL 60616-2333
(312) 567-5593
(312) 567-6156

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
336140279
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950150
MERCY HOSPITAL & MEDICAL CENTER
IL
Enumeration date
03/01/2012
Last updated
03/01/2012
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