Leah Grinnage

NPI #1174903124 in Dolton, Illinois

Provider Information

NPI Number: 1174903124
Entity Type: Individual
Name: Leah Grinnage
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 4, 2015
Last Updated: Jun 4, 2015

Practice Location

Address: 15317 EVERS ST
City: Dolton
State: Illinois
ZIP Code: 60419-2624
Phone: (708) 692-5896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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