Individual
GRACE NANCY CHIALDIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MELSHANE CT, LEMONT, IL 60439-4608
(630) 450-6134
Mailing address
11 MELSHANE CT, LEMONT, IL 60439-4608
(630) 450-6134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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