Individual
ELIZABETH GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1700 HENRY LUCKOW LN, BELVIDERE, IL 61008-1702
(779) 696-8650
Mailing address
1700 HENRY LUCKOW LN, BELVIDERE, IL 61008-1702
(779) 696-8650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.028155
IL
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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