Healthcare Provider Details

I. General information

NPI: 1467384669
Provider Name (Legal Business Name): GRACE CATHERINE BABICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2735 N 74TH CT
ELMWOOD PARK IL
60707-1540
US

IV. Provider business mailing address

5833 LYMAN AVE
DOWNERS GROVE IL
60516-1404
US

V. Phone/Fax

Practice location:
  • Phone: 813-395-1073
  • Fax:
Mailing address:
  • Phone: 630-703-9014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberB120-3030-6800
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: