Individual provider · Type 1 NPI
Melissa Gray, APN
Pediatric Nurse Practitioner · Chicago, IL
NPI number
1679788079
Active
Practice location
5841 S Maryland Ave, Mc 0810
Chicago, IL 60637-1447
Mailing address
180 Harvester Dr, Ste 110
Burr Ridge, IL 60527-5993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1679788079
Melissa Gray, APN's National Provider Identifier is 1679788079, issued on May 11, 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 Jul 8, 2007.