Organization
GRACIOUS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUDIRA T. OYEWOLE NP (OWNER)
(773) 742-8726
Entity
Organization
Contact information
Practice address
1510 SELKIRK ST, FLOSSMOOR, IL 60422-4317
(773) 742-8726
Mailing address
1510 SELKIRK ST, FLOSSMOOR, IL 60422-4317
(773) 742-8726
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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