Organization · Type 2 NPI

Dei Gracia Community Health Foundation NFP

Primary Care Nurse Practitioner · Urbana, IL

NPI number 1669383402 Active

Practice location

909 N Cunningham Ave Ste A
Urbana, IL 61802-1746

Specialties and licenses

TaxonomyCodeLicense
Behavioral Neurology & Neuropsychiatry Physician 2084B0040XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

Another provider at this address

About NPI 1669383402

Dei Gracia Community Health Foundation NFP's National Provider Identifier is 1669383402, issued on Sep 12, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Urbana, IL. The record was last updated on Sep 12, 2026.