Individual
GRACE HACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
429 N KIRK RD STE 103, GENEVA, IL 60134-1667
(630) 605-6323
(877) 511-8780
Mailing address
429 N KIRK RD STE 103, GENEVA, IL 60134-1667
(630) 605-6323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013760
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038013760
LICENSE
IL
Enumeration date
08/26/2021
Last updated
08/26/2021
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