Individual
THERESE GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
60 REVERE DR, NORTHBROOK, IL 60062-1563
(224) 221-2480
Mailing address
60 REVERE DR, NORTHBROOK, IL 60062-1563
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209023332
IL
Other
Enumeration date
06/10/2021
Last updated
01/02/2024
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