Individual
BRENDA GRZENIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17047 LA GRANGE RD, ORLAND PARK, IL 60487-7227
(815) 300-7764
Mailing address
17047 LA GRANGE RD, ORLAND PARK, IL 60487-7227
(815) 300-7764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209028719
IL
207RH0003X
Hematology & Oncology Physician
Primary
209028719
IL
Other
Enumeration date
11/09/2023
Last updated
08/27/2024
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