Search › Illinois › 171100000X
Star Gravette, L.AC
NPI 1649495185 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1463 Cantwell Ln Apt 8
Swansea, IL 62226 - Phone
- (618) 416-1557
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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