| Grace Integrated, Llc | |
|
125 Windsor Dr Ste 113 Oak Brook IL 60523-4082 | |
| (708) 512-5555 | |
| (708) 688-1023 |
| Full Name | Grace Integrated, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 125 Windsor Dr Ste 113, Oak Brook, Illinois |
| Authorized Official Name and Position | Julie Marie Mcdevitt (OWNER) |
| Authorized Official Contact | 6303139741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Integrated, Llc 414 Plaza Dr Ste 301 Westmont IL 60559-5508 Ph: (708) 512-5555 | Grace Integrated, Llc 125 Windsor Dr Ste 113 Oak Brook IL 60523-4082 Ph: (708) 512-5555 |
| NPI Number | 1750104220 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750104220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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