Organization
GRAY HEALTHCARE CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATASHA B GRAY FNP-BC (APRN)
(708) 717-0043
Entity
Organization
Contact information
Practice address
57 NORTHGATE RD, RIVERSIDE, IL 60546-1638
(708) 717-0043
Mailing address
57 NORTHGATE RD, RIVERSIDE, IL 60546-1638
(708) 717-0043
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
09/21/2020
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