Clyde Grady is a Family Medicine in Knoxville, Illinois. Clyde Grady practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Clyde Grady is 1851484075. The last update date is 2007-07-08.
Clyde Grady's current location address is 104 S Broad St, Knoxville, Illinois. You can contact this provider via phone number 3092892335 and fax number 3092898196. The mailing address for Clyde Grady is 104 S Broad St, Knoxville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde Grady |
|---|---|
| Address | 104 S Broad St, Knoxville, Illinois |
| Phone Number | 3092892335 |
| Fax Number | 3092898196 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1851484075 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 104 S Broad St |
|---|---|
| City | Knoxville |
| State | Illinois (IL) |
| Post Code | 614481339 |
| Phone Number | 3092892335 |
| Fax Number | 3092898196 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clyde Grady by the Centers for Medicare & Medicaid Services?
The Clyde Grady has been issued the NPI (National Provider Identifier) 1851484075, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Clyde Grady's facilities are geographically located?
The facilities of Clyde Grady are physically situated at the following location: 104 S Broad St, Knoxville, IL, 614481339.
What is Clyde Grady's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Clyde Grady is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Clyde Grady receive its 1851484075 assignment from the Centers for Medicare & Medicaid Services?
The Clyde Grady was assigned its 1851484075 by the Centers for Medicare & Medicaid Services on 2006-10-02.
As of what date was the information regarding Clyde Grady, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clyde Grady, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.