Individual
CAMERON GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 S CALIFORNIA AVE, CHICAGO, IL 60608-5107
(773) 674-7488
Mailing address
3423 N SEMINARY AVE APT 2, CHICAGO, IL 60657-1516
(317) 250-0128
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010876
IL
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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