Maksimowicz, Grace
Maksimowicz, Grace is an individual health care provider with primary practice located at 1620 N La Salle Dr , Chicago IL 60614-6005. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Maksimowicz, Grace can be contacted via phone (312) 943-3600.Contact Information
Primary practice address
1620 N La Salle Dr
Chicago IL 60614-6005
Phone: (312) 943-3600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | Illinois |
Profile Details
NPI number | 1194849323 |
---|---|
LBN Legal business name | Maksimowicz, Grace |
Credentials | STA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194849323 | NPPES |
Illinois | MEDICAID | 103034 |
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