Individual provider · Type 1 NPI
Thomas Edward Gray, LICENSED PRACTICAL N
Licensed Practical Nurse · Granville, IL
NPI number
1861398968
Active
Practice location
142 Oak Park Est
Granville, IL 61326-9700
Fax (708) 202-5445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 043102524 (IL) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
About NPI 1861398968
Thomas Edward Gray, LICENSED PRACTICAL N's National Provider Identifier is 1861398968, issued on Oct 15, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Granville, IL. The record was last updated on Oct 15, 2026.