Individual
CAROL M INGRISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15300 WEST AVE, SUITE 220, ORLAND PARK, IL 60462-4600
(708) 403-8400
(708) 403-8492
Mailing address
15300 WEST AVE, SUITE 220, ORLAND PARK, IL 60462-4600
(708) 403-8400
(708) 403-8492
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
IL
Other
Enumeration date
01/04/2007
Last updated
07/09/2007
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