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Individual
GRACE TRAN
Active
Individual
GRACE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209016004
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209016004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209016004
—
IL
01
—
MT4586927
DEA
IL
Enumeration date
06/01/2017
Last updated
07/17/2026
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