Tran, Grace
Tran, Grace is an individual health care provider with primary practice located at 1990 Larkin Ave Ste 3 , Elgin IL 60123-5827. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Tran, Grace can be contacted via phone (847) 289-5727.Contact Information
Primary practice address
1990 Larkin Ave Ste 3
Elgin IL 60123-5827
Phone: (847) 289-5727
Fax: (847) 888-5469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 209016004 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 209016004 | Illinois |
Profile Details
| NPI number | 1356879456 |
|---|---|
| LBN Legal business name | Tran, Grace |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2017 |
| Last updated | Nov 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356879456 | NPPES |
| Illinois | MEDICAID | 209016004 | |
| Illinois | Other | MT4586927 |
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