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Individual

DENIA ELLIS-GRAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2023 RIDGE RD LOWR 1, HOMEWOOD, IL 60430-1783
(708) 527-9028
Mailing address
17948 LOOMIS AVE, HOMEWOOD, IL 60430-1814
(708) 527-9028

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary

Other

Enumeration date
07/10/2024
Last updated
07/10/2024
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