Individual
MEGAN PAIGE GRIESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
875 S ROUTE 31, CRYSTAL LAKE, IL 60014-8190
(779) 220-5500
(779) 220-5184
Mailing address
1200 W STATE ST, ROCKFORD, IL 61102-2112
(815) 490-1600
(815) 490-1881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026136
IL
363LF0000X
Family Nurse Practitioner
209026136
IL
Other
Enumeration date
10/17/2022
Last updated
09/25/2024
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