Individual provider · Type 1 NPI
Leah Grinnage
Specialist · Dolton, IL
NPI number
1174903124
Active
Practice location
15317 Evers St
Dolton, IL 60419-2624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 057004251 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Dolton
About NPI 1174903124
Leah Grinnage's National Provider Identifier is 1174903124, issued on Jun 4, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dolton, IL. The record was last updated on Jun 4, 2015.