Individual
GRACE SONGKI MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
1000 CENTRAL ST STE 730, EVANSTON, IL 60201-1779
(847) 570-2250
(847) 570-1865
Mailing address
1000 CENTRAL ST STE 730, EVANSTON, IL 60201-1779
(847) 570-2250
(847) 570-1865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024174
IL
Other
Enumeration date
07/13/2020
Last updated
03/03/2022
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