Grace Diala
Grace Diala is a Nurse Practitioner in Flossmoor, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
3710 Lismore StFlossmoor, IL 60422-4311
Phone: (708) 527-0354
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Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 209.024830 (IL) |
|---|
Record details
| NPI number | 1013663178 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 28, 2022 |
| Last updated in NPPES | April 4, 2022 |
| Certification date | April 3, 2022 |
| Mailing address | 3710 Lismore St, Flossmoor, IL 60422-4311 |
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-
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