Individual
VIRGINIA GRIGORYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3633 W LAKE AVE STE 303, GLENVIEW, IL 60026-5803
(224) 432-5803
Mailing address
584 WILLIAMS WAY, VERNON HILLS, IL 60061-3252
(414) 531-0382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.029820
IL
363LA2200X
Adult Health Nurse Practitioner
209.029820
IL
363LP2300X
Primary Care Nurse Practitioner
209.029820
IL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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