Search › Minnesota › 363A00000X
Grace Illies, PA-C
NPI 1841109865 · on the registry since 2026
Practice
- Address
- 17201 73rd St Ne
New London, MN 56273 - Phone
- (320) 557-5518
Additional practice sites
- 2577 Gunn Hwy, Odessa, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-04
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 Minnesota