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General NPI Number Information
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NPI Number | 1316714298
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Entity Type | Individual
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Provider Name | ELIZABETH MARIE MCGRAIL APRN, PNP-PC
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Gender | Female
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 7330 W COLLEGE DR STE 201
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1184
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Country | US
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Telephone | 708-671-8145
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Fax |
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Provider Business Mailing Address
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Address Line | 4841 173RD ST
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-2045
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Country | US
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Telephone | 708-945-6807
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 209.028888
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License Number State | IL
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