Individual
GRACE MIYOKO SELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7000 S COUNTY LINE RD, BURR RIDGE, IL 60527-6973
(630) 793-2676
Mailing address
2609 N DAYTON ST APT 3, CHICAGO, IL 60614-6662
(408) 348-8225
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.029765
IL
Other
Enumeration date
04/15/2024
Last updated
05/28/2024
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