Organization
GRACEN JOSEPH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE CATALINA CABANILLAS NURSE PRACTITIONER (MANAGER/OWNER)
(732) 407-6130
Entity
Organization
Contact information
Practice address
875 N MICHIGAN AVE FL 31, CHICAGO, IL 60611-1962
(732) 407-6130
Mailing address
875 N MICHIGAN AVE FL 31, CHICAGO, IL 60611-1962
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
02/21/2024
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