Gracious Services LLC

NPI #1104567304 in Flossmoor, Illinois

Provider Information

NPI Number: 1104567304
Entity Type: Organization
Organization Name: Gracious Services LLC
Primary Specialty: Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date: Apr 5, 2022
Last Updated: Apr 5, 2022

Practice Location

Address: 1510 SELKIRK ST
City: Flossmoor
State: Illinois
ZIP Code: 60422-4317
Phone: (773) 742-8726

Authorized Official

Name: MUDIRA T. OYEWOLE, NP
Title: OWNER
Phone: (773) 742-8726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X	Primary

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