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Contact Information

GRACE E ANDERSON
1120 E MAIN ST STE 201
SAINT CHARLES, IL60174-2287
 Phone: 630-377-6613
 Fax: 630-377-6225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for GRACE E ANDERSON · (Female)

NPI Number 1952113029
Status Active
Credentials
Entity Individual
Enumeration date 01/24/2025
Last updated 01/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 208001273
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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