Richard L Grant MD PC

NPI #1114000536 in Peoria, Illinois

Provider Information

NPI Number: 1114000536
Entity Type: Organization
Organization Name: Richard L Grant MD PC
Primary Specialty: Psychiatry & Neurology - Forensic Psychiatry
Enumeration Date: Oct 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7309 N KNOXVILLE
City: Peoria
State: Illinois
ZIP Code: 61614
Phone: (309) 692-5550

Authorized Official

Name: RICHARD LOCKE GRANT, MD
Title: PRESIDENT
Phone: (309) 692-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Forensic Psychiatry — Forensic Psychiatry	2084F0202X	Primary

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