Individual provider · Type 1 NPI

Grace Geme Vieaux Tiedt

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

NPI number 1235969114 Active

Practice location

2835 N Sheffield Ave Ste 310
Chicago, IL 60657-5084

Call (773) 234-0695 Map

Mailing address

2970 N Sheridan Rd Apt 1111
Chicago, IL 60657-5828

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 1235969114

Grace Geme Vieaux Tiedt's National Provider Identifier is 1235969114, issued on Aug 5, 2024. 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 Aug 5, 2024.