Individual
BOGDANA GRYNIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5758 S MARYLAND AVE STE 5A, CHICAGO, IL 60637-1426
(773) 702-6138
Mailing address
5758 S MARYLAND AVE STE 5A, CHICAGO, IL 60637-1426
(773) 702-6138
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020466
IL
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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