Search › Illinois › 164W00000X
Austin Grant, LPN
NPI 1063025781 · on the registry since 2020
Practice
- Address
- 205 Joplin St
Benton, IL 62812 - Phone
- (618) 603-6209
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-24
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 Illinois