Individual
DR. V. GRACE M. CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8100 W 119TH ST, PALOS PARK, IL 60464-3041
(708) 361-3300
(708) 361-8139
Mailing address
8100 W 119TH ST, PALOS PARK, IL 60464-3041
(708) 361-3300
(708) 361-8139
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-105527
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105527
—
IL
Enumeration date
06/22/2006
Last updated
12/16/2021
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