Individual
GRETCHEL FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
736 NEWPORT DR, ISLAND LAKE, IL 60042-9557
(847) 204-0855
Mailing address
3208 MIDWAY DR, ISLAND LAKE, IL 60042-9792
(847) 254-7034
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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