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General NPI Number Information
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NPI Number | 1013828409
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Entity Type | Individual
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Provider Name | GRACE DIANNE DEFRINO APRN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 331 W SURF ST STE 907
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City | CHICAGO
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State | IL
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Zip | 60657-7227
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Country | US
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Telephone | 773-755-2600
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Fax | 773-880-0403
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Provider Business Mailing Address
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Address Line | 331 W SURF ST STE 907
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City | CHICAGO
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State | IL
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Zip | 60657-7227
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Country | US
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Telephone | 773-755-2600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041572586
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209036584
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License Number State | IL
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