Individual
GRACE DEVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-8757
Mailing address
4 CALLEVIEW DR, LA GRANGE, IL 60525-6615
(708) 267-2003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125085586
IL
208000000X
Pediatrics Physician
Primary
125.085586
IL
Other
Enumeration date
03/24/2025
Last updated
10/09/2025
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