Individual provider · Type 1 NPI

Grace Park

General Practice Registered Nurse · North Chicago, IL

NPI number 1275419087 Active

Practice location

3333 Green Bay Rd
North Chicago, IL 60064-3037

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse Primary 163WG0000X041582823 (IL)

General Practice Registered Nurse: Definition to come...

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About NPI 1275419087

Grace Park's National Provider Identifier is 1275419087, issued on Aug 15, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in North Chicago, IL. The record was last updated on Aug 15, 2025.