Individual
MARY GRACE PROWEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, MSN
Contact information
Practice address
1055 E GRAND AVE, LINDENHURST, IL 60046-9007
(847) 356-4568
Mailing address
1055 E GRAND AVE, LINDENHURST, IL 60046-9007
(847) 356-4568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041483515
IL
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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