Grand Prairie Services
NPI #1932526548 in Park Forest, Illinois
Provider Information
- NPI Number
- 1932526548
- Entity Type
- Organization
- Organization Name
- Grand Prairie Services
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 20, 2014
- Last Updated
- Nov 20, 2023
Practice Location
- Address
- 404 SANDBURG ST
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-1106
- Phone
- (708) 444-1012
Authorized Official
- Name
- SHARRONNE WARD
- Title
- PRESIDENT AND CEO
- Phone
- (708) 444-1012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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