Individual
HEATHER LA GRIPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 W DIVERSEY PKWY, CHICAGO, IL 60614-1454
(773) 281-3563
Mailing address
2610 N ORCHARD ST, UNIT E, CHICAGO, IL 60614-7156
(630) 853-9842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012176
IL
Other
Enumeration date
11/07/2014
Last updated
11/10/2014
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