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NPI Code Detail

MEDICARE: GRACE SCHMUCKER

MEDICARE:   GRACE  SCHMUCKER
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
1163W00000XRegistered Nurse041582224IL

General Provider Information

NPI Number : 1720938095
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE SCHMUCKER
Provider Business Mailing Address
First Line : 290 W WINTHROP AVE
Second Line :
City : ELMHURST
State : IL
Zip : 60126-3317
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 OGDEN AVE
Second Line :
City : AURORA
State : IL
Zip : 60504-5893
Country : US
Telephone Number : 630-978-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2026
Last Update Date : 01/28/2026

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Directions to “ GRACE SCHMUCKER ” Practice Location

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