Healthcare Provider Details

I. General information

NPI: 1376470070
Provider Name (Legal Business Name): GRACE HEALTH & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5N992 W SUNSET VIEWS DR
SAINT CHARLES IL
60175-8386
US

IV. Provider business mailing address

5N992 W SUNSET VIEWS DR
SAINT CHARLES IL
60175-8386
US

V. Phone/Fax

Practice location:
  • Phone: 312-685-4411
  • Fax:
Mailing address:
  • Phone: 312-685-4411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. ZAINAB CHEMISTO
Title or Position: DIRECTOR
Credential:
Phone: 224-723-2165