Individual
GRETCHEN RAE MULHERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1890 SILVER CROSS BLVD STE 210, NEW LENOX, IL 60451-9626
(815) 463-3000
Mailing address
1890 SILVER CROSS BLVD STE 210, NEW LENOX, IL 60451-9626
(815) 463-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209016031
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209016031
LICENSE
IL
Enumeration date
06/14/2017
Last updated
07/21/2022
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