Individual
KIMBERLY JOAN GRZESIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, AGACNP-BC
Contact information
Practice address
16450 S 97TH AVE, ORLAND PARK, IL 60467-5587
(708) 403-6500
Mailing address
7745 COVENTRY LN, FRANKFORT, IL 60423-2121
(815) 325-2136
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209015536
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
71015407A
IN
Other
Enumeration date
04/28/2017
Last updated
10/30/2025
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