Individual
RENEE SHEREE GRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
250 E SUPERIOR ST STE 4-420, CHICAGO, IL 60611-2914
(312) 472-0420
(312) 926-6363
Mailing address
250 E SUPERIOR ST STE 4-420, CHICAGO, IL 60611-2914
(312) 472-0420
(312) 926-6363
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209027099
IL
363LF0000X
Family Nurse Practitioner
209.027099
IL
Other
Enumeration date
08/16/2023
Last updated
01/30/2024
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