Individual
LINDSEY N GRUENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
900 MAIN ST STE 100, PEORIA, IL 61602-5003
(309) 671-7772
Mailing address
2923 CAPEN DR, BLOOMINGTON, IL 61704-6217
(440) 477-9723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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