person
Kenisha Quiana Grandison, NP
Family Nurse Practitioner in Chicago, Illinois
NPI 1285161075

Kenisha Quiana Grandison is a Family Nurse Practitioner based in Chicago, IL and is specialized in Family. Kenisha Quiana Grandison practices in Chicago, IL and has the professional credentials of NP. The NPI Number for Kenisha Quiana Grandison is 1285161075 and holds a License No. 209015880 (Illinois).

The current practice location address for Kenisha Quiana Grandison is 5841 S Maryland Ave # Mc2115, Chicago, IL and can be reached out via phone at 773-834-0475 and via fax at 773-753-4525.

Location: 5841 S Maryland Ave # Mc2115, Chicago, IL, 60637-1447
person
Provider Profile Details
NPI Number
1285161075
Provider Name
Kenisha Quiana Grandison
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5841 S Maryland Ave # Mc2115, Chicago, IL, 60637-1447
Phone Number
773-834-0475
Fax Number
773-753-4525
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave # Mc2115
City
State
Zip
60637-1447
Phone Number
773-834-0475
Fax Number
773-753-4525
person
Provider Business Mailing Address Details
Address
5841 S Maryland Ave # Mc2115
City
State
Zip
60637-1447
Phone Number
773-834-0475
Fax Number
773-753-4525
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209015880 (Illinois)
Definition
Definition to come...
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