Carreon, V. Grace M.
Carreon, V. Grace M. is an individual health care provider with primary practice located at 8100 W 119Th St , Palos Park IL 60464-3041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Carreon, V. Grace M. can be contacted via phone (708) 361-3300.Contact Information
Primary practice address
8100 W 119Th St
Palos Park IL 60464-3041
Phone: (708) 361-3300
Fax: (708) 361-8139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-105527 | Illinois |
Profile Details
| NPI number | 1386680825 |
|---|---|
| LBN Legal business name | Carreon, V. Grace M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Dec 16th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386680825 | NPPES |
| Illinois | MEDICAID | 036105527 |
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