Individual
GRACE R SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 LINCOLN AVE STE 4, WINNETKA, IL 60093-2349
(312) 780-0820
Mailing address
545 LINCOLN AVE STE 4, WINNETKA, IL 60093-2349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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