Individual
GRACE M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
554 GREEN BAY RD STE B, KENILWORTH, IL 60043-1086
(847) 256-3500
(847) 256-3513
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070009825
IL
Other
Enumeration date
04/24/2007
Last updated
07/27/2017
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