Individual
GRACE WHITBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4908 N ELSTON AVE, CHICAGO, IL 60630-2506
(773) 205-8505
Mailing address
2653 N SPAULDING AVE APT 2E, CHICAGO, IL 60647-1418
(479) 249-5480
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
02/28/2025
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