Individual
DR. ELIZABETH GRACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, PHD
Contact information
Practice address
6857 S PULASKI RD, CHICAGO, IL 60629-4151
(305) 989-3589
Mailing address
1400 S MICHIGAN AVE APT 1206, CHICAGO, IL 60605-3721
(305) 989-3589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019033636
IL
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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