Individual
GRACE STRBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
220 SPRINGFIELD DR, BLOOMINGDALE, IL 60108-2215
(630) 967-2225
(630) 545-7892
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-011474
IL
Other
Enumeration date
12/19/2024
Last updated
09/05/2025
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