LEAH GRINNAGE
NPI 1174903124
Specialist in Dolton, IL
About Leah Grinnage NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEAH GRINNAGE (NPI 1174903124) is an individual specialist in Dolton, Illinois, licensed in Illinois (057004251) and active in the NPI registry since June 2015.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Leah Grinnage's NPI number?
The NPI number for Leah Grinnage is 1174903124. It was assigned to this individual provider in the NPPES registry on June 4, 2015.
Where is Leah Grinnage located?
Leah Grinnage practices at 15317 Evers St, Dolton, IL 60419. The listed phone number is (708) 692-5896.
What is Leah Grinnage's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
When was this NPI record last updated?
The NPPES record for Leah Grinnage was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Leah Grinnage · NPI 1174903124
Specialist provider in Dolton, Illinois. Individual provider, active in the CMS NPPES registry since June 4, 2015.
## Identity
- **NPI:** 1174903124 (Entity type: Individual)
- **Enumerated:** June 4, 2015
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 057004251 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 15317 EVERS ST, Dolton, IL 60419-2624
- **Phone:** (708) 692-5896
## Record status
- **NPPES last updated:** June 4, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1174903124) · Data from the CMS NPPES public registry.