Individual
GRACE EISENHUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
Mailing address
230 KNOX PARK RD, LAKE ZURICH, IL 60047-7117
(847) 975-3909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.015611
IL
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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