Organization
GRACE WOMEN'S HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J RAU (ASSISTANT OFFICE MANAGER)
(618) 233-0017
Entity
Organization
Contact information
Practice address
180 S 3RD ST, SUITE 200, BELLEVILLE, IL 62220-1952
(618) 233-0017
(618) 233-0251
Mailing address
180 S 3RD ST, SUITE 200, BELLEVILLE, IL 62220-1952
(618) 233-0017
(618) 233-0251
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/31/2009
Last updated
01/16/2015
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