Individual
ANAIT GRIGORYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16760 W DIVISION ST, LOCKPORT, IL 60441-4601
(866) 389-2727
Mailing address
16760 W DIVISION ST, LOCKPORT, IL 60441-4601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
022518
OH
363LF0000X
Family Nurse Practitioner
Primary
209.025281
IL
363LF0000X
Family Nurse Practitioner
95018564
CA
Other
Enumeration date
09/01/2016
Last updated
02/26/2026
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