Individual provider · Type 1 NPI

Grace Fjermedal

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1104754209 Active

Practice location

1620 W Harrison St
Chicago, IL 60612-3801

Call (312) 942-5000 Map

Mailing address

345 N Lasalle St Apt 2308
Chicago, IL 60654

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104754209

Grace Fjermedal's National Provider Identifier is 1104754209, issued on May 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on May 11, 2026.