SearchIllinois103TS0200X

Patricia Gray

NPI 1689191157 · on the registry since 2017 · sole proprietor

Practice

Address
203 N Third St
Ashkum, IL 60911
Phone
(815) 698-2212
Organisation at this address
Central Community Unit School Dist #4
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

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