Healthcare Provider Details

I. General information

NPI: 1053693739
Provider Name (Legal Business Name): GRACE HEALTH SYSTEM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2011
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SKOKIE BLVD STE 205
NORTHBROOK IL
60062-4031
US

IV. Provider business mailing address

7840 LINCOLN AVE SUITE 104
SKOKIE IL
60077-3658
US

V. Phone/Fax

Practice location:
  • Phone: 847-983-0666
  • Fax: 847-983-4916
Mailing address:
  • Phone: 847-983-0666
  • Fax: 847-983-4916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number2049431
License Number StateIL

VIII. Authorized Official

Name: SARAH CHOWDHURY
Title or Position: PRESIDENT
Credential:
Phone: 847-983-0666