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
Address 709 Townes Court, Peoria, Illinois
Phone Number 3096925550
Fax Number 3096925553
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Grant Locke Richard
Credentials MD
Telephone Number 3096925550

NPI Number Detail

NPI Number 1114000536
Provider Enumeration Date 2006-10-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 709 Townes Court
City Peoria
State Illinois (IL)
Post Code 616151381
Phone Number 3096925550
Fax Number 3096925553

Provider's Primary Taxonomy Detail

Speciality Forensic Psychiatry
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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FAQs about Richard L Grant Md Pc

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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