Individual
GRACE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7423 MADISON ST, FOREST PARK, IL 60130-1502
(779) 348-0364
Mailing address
7423 MADISON ST, FOREST PARK, IL 60130-1502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007430
IL
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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