Individual
KIMBERLY ALLISON GREGORIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5101 WILLOW SPRINGS RD, LA GRANGE, IL 60525-2600
(708) 245-6589
Mailing address
690 SCHULTZ ST, LEMONT, IL 60439-4076
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016916
IL
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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