Mary Grasso
Mary Grasso is a Pediatric Nurse Practitioner in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
4254 W 55th StChicago, IL 60632-4642
Phone: (773) 582-5200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 209022601 (IL) |
|---|
Record details
| NPI number | 1437748852 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 11, 2021 |
| Last updated in NPPES | January 11, 2021 |
| Certification date | November 21, 2020 |
| Mailing address | 840 N Spring Ave, La Grange Park, IL 60526-1475 |
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