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1669210522
SHANNON GRIMES
CHICAGO, IL
NPI
1669210522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: IL 104655113)
Enumeration Date
2024-07-16
Last Update Date
2024-07-16
Business Address
SHANNON GRIMES
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
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Mailing Address
SHANNON GRIMES
1816 S CALUMET AVE
CHICAGO, IL 60616-1404
Phone number: 570-899-3450
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