Individual
KELLY ANN GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10837 S CICERO AVE STE 200, OAK LAWN, IL 60453-6459
(708) 636-7575
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209025581
IL
Other
Enumeration date
09/19/2023
Last updated
09/06/2024
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