Provider Demographics
NPI:1164950960
Name:GETTES, GRACE ELLEN (ATC)
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:ELLEN
Last Name:GETTES
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6950 N BELL AVE APT 404
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-4874
Mailing Address - Country:US
Mailing Address - Phone:847-452-6798
Mailing Address - Fax:
Practice Address - Street 1:6950 N BELL AVE APT 404
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-4874
Practice Address - Country:US
Practice Address - Phone:847-452-6798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer