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General NPI Number Information
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NPI Number | 1053693739
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Entity Type | Organization
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Legal Business Name | GRACE HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 09/19/2011
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 900 SKOKIE BLVD STE 205
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City | NORTHBROOK
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State | IL
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Zip | 60062-4031
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Country | US
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Telephone | 847-983-0666
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Fax | 847-983-4916
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Provider Business Mailing Address
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Address Line | 7840 LINCOLN AVE SUITE 104
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City | SKOKIE
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State | IL
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Zip | 60077-3658
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Country | US
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Telephone | 847-983-0666
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Fax | 847-983-4916
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Authorized Official
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Title or Position | PRESIDENT
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Name | SARAH CHOWDHURY
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Credential |
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Telephone | 847-983-0666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 2049431
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License Number State | IL
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