Individual
GRACE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1640 N WELLS ST UNIT 201, CHICAGO, IL 60614-6006
(312) 642-4300
Mailing address
4609 JOHNSON AVE, WESTERN SPRINGS, IL 60558-1540
(630) 460-0931
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.115186
IL
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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