LEILANI GRUEZO LUELL

SKOKIE, IL
NPI1437616836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209018826)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IL  041307510)
Enumeration Date2019-02-22
Last Update Date2019-05-22
Business Address
LEILANI GRUEZO LUELL NP
9977 WOODS DR
SKOKIE, IL 60077-1057
Phone number: 224-364-2273
Mailing Address
LEILANI GRUEZO LUELL NP
9977 WOODS DR
SKOKIE, IL 60077-1057
Phone number: 224-364-2273