SearchIllinois235Z00000X

Melissa Grandsart

NPI 1902207731 · on the registry since 2014

Practice

Address
128 Washington Square
Washington, IL 61571
Phone
(815) 878-1261
Organisation at this address
Skill Sprout, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-11

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