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Mary Grasso
Pediatric Nurse Practitioner in Chicago, Illinois
NPI 1437748852

Mary Grasso is a Pediatric Nurse Practitioner based in La Grange Park, IL and is specialized in Pediatrics. Mary Grasso practices in Chicago, IL. The NPI Number for Mary Grasso is 1437748852 and holds a License No. 209022601 (Illinois).

The current practice location address for Mary Grasso is 4254 W 55Th St, Chicago, IL and can be reached out via phone at 773-582-5200.

Location: 4254 W 55Th St, Chicago, IL, 60526-1475
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Provider Profile Details
NPI Number
1437748852
Provider Name
Mary Grasso
Credential
Provider Entity Type
Individual
Gender
Female
Address
4254 W 55Th St, Chicago, IL, 60526-1475
Phone Number
773-582-5200
Fax Number
Provider Enumeration Date
01/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4254 W 55Th St
City
State
Zip
60632-4642
Phone Number
773-582-5200
Fax Number
person
Provider Business Mailing Address Details
Address
4254 W 55Th St
City
State
Zip
60632-4642
Phone Number
773-582-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209022601 (Illinois)
Definition
Definition to come...
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