Individual
DIANE GRAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2119 MANICO DR, CREST HILL, IL 60403-0812
(815) 791-7445
Mailing address
2119 MANICO DR, CREST HILL, IL 60403-0812
(815) 791-7445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016624
IL
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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