Individual
MEREDITH GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3 LAKES DR, NORTHFIELD, IL 60093-2734
(847) 732-8570
Mailing address
3 LAKES DR, NORTHFIELD, IL 60093-2734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041482026
IL
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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