Individual
MRS. EVA GRIMALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1764 NAPA SUWE LN, WAUCONDA, IL 60084-1409
(847) 262-3848
Mailing address
1764 NAPA SUWE LN, WAUCONDA, IL 60084-1409
(847) 219-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041296646
IL
363LF0000X
Family Nurse Practitioner
Primary
277000274
IL
Other
Enumeration date
09/20/2014
Last updated
11/05/2019
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