Individual
PHYLLIS KUI GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4610 N CLARK ST # 1167, CHICAGO, IL 60640-4620
(708) 320-1126
Mailing address
4610 N CLARK ST # 1167, CHICAGO, IL 60640-4620
(708) 320-1126
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
03/21/2026
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