Grace Diala is a Nurse Practitioner based in Flossmoor, IL. Grace Diala practices in Flossmoor, IL. The NPI Number for Grace Diala is 1013663178 and holds a License No. 209.024830 (Illinois).
The current practice location address for Grace Diala is 3710 Lismore St, Flossmoor, IL and can be reached out via phone at 708-527-0354.
Location: 3710 Lismore St, Flossmoor, IL, 60422-4311
Provider Profile Details
NPI Number
1013663178
Provider Name
Grace Diala
Credential
Provider Entity Type
Individual
Gender
Female
Address
3710 Lismore St, Flossmoor, IL, 60422-4311
Phone Number
708-527-0354
Fax Number
Provider Enumeration Date
02/28/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013663178 | 05 | IL |
Provider Business Practice Location Address Details
Address
3710 Lismore St
City
State
Zip
60422-4311
Phone Number
708-527-0354
Fax Number
Provider Business Mailing Address Details
Address
3710 Lismore St
City
State
Zip
60422-4311
Phone Number
708-527-0354
Fax Number
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
209.024830 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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