Search › Pennsylvania › 235Z00000X
Grace Illingworth
NPI 1174295109 · on the registry since 2021 · sole proprietor
Practice
- Address
- 951 Tennis Ave
Glenside, PA 19038 - Phone
- (215) 260-1255
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania