Larson, Grace Gar Yun

Larson, Grace Gar Yun is an individual health care provider with primary practice located at 3860 W Ogden Ave , Chicago IL 60623-8400. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Larson, Grace Gar Yun can be contacted via phone (872) 588-3000.

Contact Information

Primary practice address
3860 W Ogden Ave Chicago IL 60623-8400
Phone: (872) 588-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041374899 Illinois
Other Service Providers / Midwife 176B00000X 209011927 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209011927 Illinois

Profile Details

NPI number 1609279819
LBN Legal business name Larson, Grace Gar Yun
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2014
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609279819 NPPES
Illinois Other 309017757 CS LICENSE
Illinois Other 209011927 CS LICENSE

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