MEDICARE: GREGORY GRACE MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	149005245	IL

General Provider Information

NPI Number	:	1083641435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY GRACE MSW

Provider Business Mailing Address
First Line	:	3001 N. GREENBAY ROAD
Second Line	:
City	:	NORTH CHICAGO
State	:	IL
Zip	:	60064-0000
Country	:	US
Telephone Number	:	224-610-3326
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 N. GREENBAY RD
Second Line	:
City	:	NORTH CHICAGO
State	:	IL
Zip	:	60064-2318
Country	:	US
Telephone Number	:	847-688-1900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	08/12/2010

Similar Medicare Providers

1992003578 — ALLENDALE ASSOCIATION
Practice Location Address:

1920 SHERMAN AVE
NORTH CHICAGO, IL
60064-2318

Practice Phone: 847-693-2060
Practice Fax:

1689650186 — TOWN OF NORTH ATTLEBOROUGH
Practice Location Address:

50 ELM ST
NORTH ATTLEBORO, MA
02760-2318

Practice Phone: 508-699-4423
Practice Fax:

1942314133 — DR. ANTHONY DELLI SANTI D.C.
Practice Location Address:

2 NORTH RD
CHESTER, NJ
07930-2318

Practice Phone: 908-879-7979
Practice Fax: 908-879-7964

1902912991 — DR. EDWARD LIFSHITZ M.D.
Practice Location Address:

2 NORTH RD
CHESTER, NJ
07930-2318

Practice Phone: 908-879-7730
Practice Fax:

1336248673 — THRIFT DRUG INC
Practice Location Address:

1650 NORTH CEDAR CREST BOULEVARD
ALLENTOWN, PA
18104-2318

Practice Phone: 610-395-3671
Practice Fax:

1497847339 — DR. KERRY R MCMAHON M.D.
Practice Location Address:

2 NORTH RD
CHESTER, NJ
07930-2318

Practice Phone: 908-879-7730
Practice Fax: 908-879-4575

Directions to “ GREGORY GRACE MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.