GRACE BASCOS

CHICAGO, IL
NPI1619770534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085011345)
Enumeration Date2025-03-27
Last Update Date2026-03-19
Business Address
GRACE BASCOS PA-C
5145 N CALIFORNIA AVE
CHICAGO, IL 60625-3661
Phone number: 773-878-8200
Mailing Address
GRACE BASCOS PA-C
5145 N CALIFORNIA AVE
CHICAGO, IL 60625-3661
Phone number:
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