| Grace Integrated Pllc | |
|
3200 Harlem Ave Riverside IL 60546-2012 | |
| (630) 728-1744 | |
| Not Available |
| Full Name | Grace Integrated Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3200 Harlem Ave, Riverside, Illinois |
| Authorized Official Name and Position | Julie Marie Mcdevitt (OWNER) |
| Authorized Official Contact | 6307281744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Integrated Pllc 3200 Harlem Ave Riverside IL 60546-2012 Ph: (630) 728-1744 | Grace Integrated Pllc 3200 Harlem Ave Riverside IL 60546-2012 Ph: (630) 728-1744 |
| NPI Number | 1629893037 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629893037 | 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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