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Dolores Grullon
NPI 1770241382 · on the registry since 2021 · sole proprietor
Practice
- Address
- 833 W Lawrence Ave Apt G
Chicago, IL 60640 - Phone
- (978) 382-0439
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois