Doctor Name: | DR. KATHRYN S GRACE |
NPI Number: | 1033287024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 016003845 |
Business Practice Address: | 2501 Compass Rd Suite 120 Glenview, IL - 600268000 |
Business Phone Number: | 8477299580 |
Business Fax Number: | 8477299480 |
Mailing Address: | 2501 Compass Rd, Suite 120 GLENVIEW |
State: | IL |
Postal Code: | 600268000 |
Phone Number: | 8477299580 |
Fax Number: | 8477299480 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 016003845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |