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General NPI Number Information
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NPI Number | 1346614260
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Entity Type | Individual
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Provider Name | QUEENESTER B GRAY-HIGHTOWER FNP
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Gender | Female
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Dates
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Enumeration Date | 11/16/2015
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 6201 W HOWARD ST STE 211A
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City | NILES
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State | IL
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Zip | 60714-3435
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Country | US
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Telephone | 708-428-2996
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Fax | 708-400-9078
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Provider Business Mailing Address
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Address Line | 6201 W HOWARD ST STE 211A
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City | NILES
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State | IL
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Zip | 60714-3435
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Country | US
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Telephone | 708-428-2996
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Fax | 708-400-9078
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277000211
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License Number State | IL
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