| Dei Gracia Healthcare,pllc | |
|
909 N Cunningham Ave Urbana IL 61802-1744 | |
| (217) 607-8110 | |
| Not Available |
| Full Name | Dei Gracia Healthcare,pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 909 N Cunningham Ave, Urbana, Illinois |
| Authorized Official Name and Position | Nathalie Rosine Kori Nkenlifack Manhenkeu (MANAGER) |
| Authorized Official Contact | 2178197328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dei Gracia Healthcare,pllc 1409 Ogelthorpe Ave Urbana IL 61802-4749 Ph: (217) 819-7328 | Dei Gracia Healthcare,pllc 909 N Cunningham Ave Urbana IL 61802-1744 Ph: (217) 607-8110 |
| NPI Number | 1235018987 |
|---|---|
| Provider Enumeration Date | 08/28/2025 |
| Last Update Date | 08/28/2025 |
| Certification Date | 08/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235018987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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