Individual provider · Type 1 NPI
Susan M. Gradle
Pediatric Nurse Practitioner · Chicago, IL
NPI number
1447444682
Active
Practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr, Suite 300
Burr Ridge, IL 60527-5919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209003438 (IL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1447444682
Susan M. Gradle's National Provider Identifier is 1447444682, issued on Aug 30, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on Oct 24, 2022.