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General NPI Number Information
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NPI Number | 1467384669
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Entity Type | Individual
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Provider Name | GRACE CATHERINE BABICH
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 2735 N 74TH CT
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City | ELMWOOD PARK
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State | IL
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Zip | 60707-1540
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Country | US
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Telephone | 813-395-1073
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Fax |
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Provider Business Mailing Address
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Address Line | 5833 LYMAN AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60516-1404
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Country | US
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Telephone | 630-703-9014
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number | B120-3030-6800
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License Number State | IL
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