Grace Medical Center, Sc
NPI #1457405300 in Lake in the Hills, Illinois
Provider Information
- NPI Number
- 1457405300
- Entity Type
- Organization
- Organization Name
- Grace Medical Center, Sc
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Nov 17, 2011
Practice Location
- Address
- 2250 W ALGONQUIN RD
- Address 2
- SUITE 112
- State
- Illinois
- ZIP Code
- 60156-1289
- Phone
- (847) 854-5533
Authorized Official
- Name
- DR. CHUNG S RIM, M.D.
- Title
- PROVIDER
- Phone
- (847) 854-5533
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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