Individual
GRACE MARIE VANDERWEIDE-SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 W LEXINGTON ST, CHICAGO, IL 60624-3786
(269) 719-9784
Mailing address
3333 W LEXINGTON ST, CHICAGO, IL 60624-3786
(269) 719-9784
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041540812
IL
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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