Individual provider · Type 1 NPI
Maral Mjukian
Pediatric Nurse Practitioner · Grayslake, IL
NPI number
1205389863
Active
Practice location
1170 E Belvidere Rd Ste 106
Grayslake, IL 60030-2076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209014489 (IL) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
Other pediatric nurse practitioner providers in Grayslake
About NPI 1205389863
Maral Mjukian's National Provider Identifier is 1205389863, issued on Aug 1, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grayslake, IL. The record was last updated on Aug 1, 2016.