Grace Estrada
Registered Nurse in West Chicago, IL. Individual provider (NPI-1).
NPI number1053979302
StatusActive
Last updated in NPPESJun 2, 2019
Details
- NPI
- 1053979302
- Entity type
- Individual (NPI-1)
- Name
- Grace Estrada
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2019
- Last updated
- Jun 2, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 041.476587 | IL | Yes |
Practice location
245 W Roosevelt RdWest Chicago, IL 60185-3739
Phone 630-682-7400
Mailing address
111 N County Farm RdWheaton, IL 60187-3977
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Registered Nurse providers in West Chicago, IL
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