Richard Locke Grant in Peoria - Forensic Psychiatry
Richard Locke Grant - NPI 1174623433
Richard Locke Grant is a Forensic Psychiatry in Peoria, Illinois. Richard Locke Grant practices all healthcare services and medical treatments related to Forensic Psychiatry. The NPI Number for Richard Locke Grant is 1174623433. The last update date is 2009-01-19.
Richard Locke Grant'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 Locke Grant is 709 Townes Court, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard Locke Grant |
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Address | 709 Townes Court, Peoria, Illinois |
Phone Number | 3096925550 |
Fax Number | 3096925553 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1174623433 |
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Provider Enumeration Date | 2006-09-25 |
Last Updated Date | 2009-01-19 |
Provider Mailing Address Detail
Address | 709 Townes Court |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616151387 |
Phone Number | 3096925550 |
Fax Number | 3096925553 |
Provider's Primary Taxonomy Detail
Speciality | Forensic Psychiatry |
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Taxonomy | 2084F0202X |
Licence No | 036-066475 |
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 identifier code issued to Richard Locke Grant by the Centers for Medicare & Medicaid Services?
The Richard Locke Grant has been assigned the NPI (National Provider Identifier) 1174623433. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Richard Locke Grant?
The Richard Locke Grant is situated at 709 Townes Court, in the city of Peoria, state of IL, with the zip code 616151387.
What is Richard Locke Grant's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard Locke Grant is Forensic Psychiatry, and the corresponding taxonomy classification code for this specialized field is 2084F0202X.
On what date did the Richard Locke Grant receive its 1174623433 assignment from the Centers for Medicare & Medicaid Services?
The Richard Locke Grant was assigned its 1174623433 by the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the details pertaining to Richard Locke Grant last refreshed?
The information related to the Richard Locke Grant, including its address, specialty, and other relevant details, was last updated on 2009-01-19.