Individual
MS. LORI M. O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
122 N WHEATON AVE UNIT 1072, WHEATON, IL 60187-6492
(630) 344-9756
(630) 348-7421
Mailing address
122 N WHEATON AVE UNIT 1072, WHEATON, IL 60187-6492
(630) 344-9756
(630) 348-7421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277001311
IL
363LW0102X
Women's Health Nurse Practitioner
277001311
IL
Other
Enumeration date
01/25/2011
Last updated
01/10/2025
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