Individual
GRACE OGUNNUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6758 N SHERIDAN RD APT 531, CHICAGO, IL 60626-4434
(773) 571-0911
Mailing address
6758 N SHERIDAN RD APT 531, CHICAGO, IL 60626-4434
(773) 571-0911
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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