Individual
MRS. MOLLY JEAN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP
Contact information
Practice address
2211 N OAK PARK AVE, SHRINERS HOSPITAL, CHICAGO, IL 60707-3351
(773) 385-5804
(773) 385-5488
Mailing address
2211 N OAK PARK AVE, SHRINERS HOSPITAL, CHICAGO, IL 60707-3351
(773) 385-5804
(773) 385-5488
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209003801
IL
Other
Enumeration date
11/02/2007
Last updated
01/02/2013
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