Individual
GRACE WAINWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
519 KENDALL LN, DEKALB, IL 60115-2567
(715) 531-5001
Mailing address
519 KENDALL LN, DEKALB, IL 60115-2567
(715) 531-5001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041549379
IL
374J00000X
Doula
Primary
1486376
IL
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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