Individual
MS. GRACE EYO EKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6101 N SHERIDAN RD EAST, SUITE 9B, CHICAGO, IL 60660-2880
(773) 973-1236
(773) 974-6157
Mailing address
6101 N. SHERIDAN RD EAST, EAST POINT BUILDING, SUITE 9B, CHICAGO, IL 60660-2880
(773) 973-1236
(773) 974-6157
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1168939
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632432
MEDICAL SUPPLIES & DME
IL
05
—
364435286-001
—
IL
Enumeration date
03/19/2007
Last updated
04/16/2020
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