Individual
DR. GRETTEL C. DONAHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1467 N ELSTON AVE, CHICAGO, IL 60642-2449
(312) 943-3600
(866) 410-9192
Mailing address
1467 N ELSTON AVE, CHICAGO, IL 60642-2449
(312) 943-3600
(866) 410-9192
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036108129
IL
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108129
—
IL
Enumeration date
01/17/2007
Last updated
02/12/2025
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