Individual
MRS. GRACE DIVINA ESMALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
10209 W LINCOLN HWY, FRANKFORT, IL 60423-1279
(708) 998-2979
Mailing address
10209 W LINCOLN HWY, FRANKFORT, IL 60423-1279
(708) 998-2979
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209025438
IL
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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