Grace Women's Healthcare

NPI #1710118252 in Belleville, Illinois

Provider Information

NPI Number: 1710118252
Entity Type: Organization
Organization Name: Grace Women's Healthcare
Primary Specialty: Specialist
Enumeration Date: Jul 31, 2009
Last Updated: Jan 16, 2015

Practice Location

Address: 180 S 3RD ST
Address 2: SUITE 200
City: Belleville
State: Illinois
ZIP Code: 62220-1952
Phone: (618) 233-0017

Authorized Official

Name: DEBORAH J RAU
Title: ASSISTANT OFFICE MANAGER
Phone: (618) 233-0017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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