Richard L Grant Md Pc in Peoria - Forensic Psychiatry
Richard L Grant Md Pc - NPI 1114000536
Richard L Grant Md Pc is a Forensic Psychiatry in Peoria, Illinois. Richard L Grant Md Pc practices all healthcare services and medical treatments related to Forensic Psychiatry. The NPI Number for Richard L Grant Md Pc is 1114000536. The last update date is 2020-08-22.
Richard L Grant Md Pc's current location address is 709 Townes Court, Peoria, Illinois. You can contact this provider via phone number 3096925550 and fax number 3096925553. The mailing address for Richard L Grant Md Pc is 709 Townes Court, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Richard L Grant Md Pc |
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Address | 709 Townes Court, Peoria, Illinois |
Phone Number | 3096925550 |
Fax Number | 3096925553 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Grant Locke Richard |
Credentials | MD |
Telephone Number | 3096925550 |
NPI Number Detail
NPI Number | 1114000536 |
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Provider Enumeration Date | 2006-10-21 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 709 Townes Court |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616151381 |
Phone Number | 3096925550 |
Fax Number | 3096925553 |
Provider's Primary Taxonomy Detail
Speciality | Forensic Psychiatry |
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Taxonomy | 2084F0202X |
Definition: Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and fo |
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What is the unique identification code assigned to Richard L Grant Md Pc by the Centers for Medicare & Medicaid Services?
The Richard L Grant Md Pc has been issued the NPI (National Provider Identifier) 1114000536. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Richard L Grant Md Pc's physical address?
The Richard L Grant Md Pc is physically located at 709 Townes Court, in the city of Peoria, IL, with the postal code 616151381.
What is Richard L Grant Md Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard L Grant Md Pc is Forensic Psychiatry, and the taxonomy code that classifies this field of practice is 2084F0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114000536 to Richard L Grant Md Pc?
The Centers for Medicare & Medicaid Services originally issued the 1114000536 to Richard L Grant Md Pc on 2006-10-21.
When was the information regarding Richard L Grant Md Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard L Grant Md Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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