NPI Profile for RELLA J GRUBEK in WHEATON, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI # | 1477380426 |
|
| Status | Active | |
| Credentials | COSMETOLOGIST | |
| Entity | Individual | |
| Enumeration date | 09/16/2024 | |
| Last updated | 09/17/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RELLA J GRUBEK
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