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Individual

PHYLLIS GRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
4359 W PARK LANE DR, ALSIP, IL 60803-2638
(708) 385-3604
Mailing address
4359 W PARK LANE DR, ALSIP, IL 60803-2638
(708) 385-3604

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041284964
IL

Other

Enumeration date
08/29/2013
Last updated
08/29/2013
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