Individual
MISS LAUREN GRANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2000
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2112
(847) 570-1041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021886
IL
363LF0000X
Family Nurse Practitioner
209021886
IL
Other
Enumeration date
09/02/2020
Last updated
10/06/2020
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