Individual
GRACE LEZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
289 S PRESIDENT ST, CAROL STREAM, IL 60188-3226
(847) 732-2677
Mailing address
289 S PRESIDENT ST, CAROL STREAM, IL 60188-3226
(847) 732-2677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03250312
IL
Other
Enumeration date
06/06/2025
Last updated
06/26/2025
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