Individual
MYRA JO GRIFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1190 INDEPENDENCE AVE, ELBURN, IL 60119-7833
(630) 643-1959
Mailing address
4N496 HUNTER CT, ST CHARLES, IL 60175-7920
(630) 779-9556
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041267823
IL
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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