Individual
GRACE ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 W ROOSEVELT RD, WEST CHICAGO, IL 60185-3739
(630) 682-7400
Mailing address
111 N COUNTY FARM RD, WHEATON, IL 60187-3977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.476587
IL
Other
Enumeration date
06/02/2019
Last updated
06/02/2019
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