Dr CARISSA R GORHAM is a female medical professional, specializing in Certified Clinical Nurse Specialist (cns). She graduated in 2014.
OSF MULTI-SPECIALTY GROUP
2200 FORT JESSE RD
105A
NORMAL
IL
617616286
Tel: 8774646640
| Npi | 1407259559 |
| Pac Id | 8628391901 |
| Professional Enrollment Id | I20141217000703 |
| Last Name | GORHAM |
| First Name | CARISSA |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Group Practice Pac Id | 3678889789 |
| Number Of Group Practice Members | 1213 |
| Line 1 Street Address | 2200 FORT JESSE RD |
| Line 2 Street Address | 105A |
| Marker Of Address Line 2 Suppression | |
| City | NORMAL |
| State | IL |
| Zip Code | 617616286 |
| Phone Number | 8774646640 |
| Hospital Affiliation Ccn 1 | 140162 |
| Hospital Affiliation Lbn 1 | ST JOSEPH MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 140161 |
| Hospital Affiliation Lbn 2 | SAINT JAMES HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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