Grace Integrated Pllc | |
414 Plaza Dr Ste 301 Westmont IL 60559-5508 | |
(630) 728-1744 | |
Not Available |
Full Name | Grace Integrated Pllc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 414 Plaza Dr Ste 301, Westmont, 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 |
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Grace Integrated Pllc 414 Plaza Dr Ste 301 Westmont IL 60559-5508 Ph: (630) 728-1744 | Grace Integrated Pllc 414 Plaza Dr Ste 301 Westmont IL 60559-5508 Ph: (630) 728-1744 |
NPI Number | 1356166763 |
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Provider Enumeration Date | 11/20/2024 |
Last Update Date | 11/20/2024 |
Certification Date | 11/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356166763 | 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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