Individual
IVAYLO MILTCHOV GRAMATIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
9518 FRANKLIN AVE, FRANKLIN PARK, IL 60131-2705
(847) 260-5532
(847) 260-5721
Mailing address
9518 FRANKLIN AVE, FRANKLIN PARK, IL 60131-2705
(847) 260-5532
(847) 260-5721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209010229
IL
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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