Provider Demographics
NPI:1871304469
Name:STEINES, GRACE
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:STEINES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16938 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:IL
Mailing Address - Zip Code:61270-9542
Mailing Address - Country:US
Mailing Address - Phone:815-499-4650
Mailing Address - Fax:
Practice Address - Street 1:16938 LINCOLN RD
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:IL
Practice Address - Zip Code:61270-9542
Practice Address - Country:US
Practice Address - Phone:815-499-4650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program