Esmalla, Grace Divina
Esmalla, Grace Divina is an sole proprietor health care provider with primary practice located at 10209 W Lincoln Hwy , Frankfort IL 60423-1279. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Esmalla, Grace Divina can be contacted via phone (708) 998-2979.Contact Information
Primary practice address
10209 W Lincoln Hwy
Frankfort IL 60423-1279
Phone: (708) 998-2979
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209025438 | Illinois |
Profile Details
| NPI number | 1225762057 |
|---|---|
| LBN Legal business name | Esmalla, Grace Divina |
| Credentials | APRN, PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2022 |
| Last updated | Jul 16th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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