SearchIllinoisSpecialist

Leah Grinnage

NPI 1174903124 · on the registry since 2015

Practice

Address
15317 Evers St
Dolton, IL 60419
Phone
(708) 692-5896

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-06-04

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