Graduated: 2017
NPI: 1619400074
Practice Locations (2)
GRAND PRAIRIE SERVICES
450 W LINCOLN HWY
CHICAGO HEIGHTS, IL 604112463
7084441012
GRAND PRAIRIE SERVICES
450W LINCOLN HWY
CHICAGO HEIGHTS, IL 604112463
7084441012
Source: CMS National Downloadable File, September 2026.