Individual
MRS. GRISELDA HERNANDEZ RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 SUPERIOR ST, SUITE 302, MELROSE PARK, IL 60160-4138
(708) 344-0808
(708) 344-5055
Mailing address
6065 S 76TH AVE, SUMMIT, IL 60501-1533
(708) 496-0351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85002784
IL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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