Individual
MS. PATRICIA GRAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
331 W SURF ST STE 907, CHICAGO, IL 60657-7227
(773) 665-3203
Mailing address
331 W SURF ST STE 907, CHICAGO, IL 60657-7227
(773) 665-3203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209018374
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209018374
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209018374
ADVANCED NURSE PRACTITIONER
IL
Enumeration date
11/09/2018
Last updated
08/31/2023
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