Leah Gray, LPN is a
Licensed Practical Nurse based in Streator, Illinois. Leah Gray is licensed to practice in Illinois (license number 043.110933) and her current practice location is
516 W Frech St, Streator, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 672-2600.
NPI number for Leah Gray is 1720740343 and her current mailing address is 409 N Peoria St, Magnolia, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720740343.
Provider's Profile
Full Name | Leah Gray |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 516 W Frech St, Streator, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720740343
- Provider Enumeration Date: 10/11/2021
- Last Update Date: 10/11/2021
Medical Identifiers
Medical identifiers for Leah Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720740343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043.110933 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leah Gray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Leah Gray, LPN 409 N Peoria St, Magnolia, IL 61336-9665 Ph: (815) 257-7117 | Leah Gray, LPN 516 W Frech St, Streator, IL 61364-1216 Ph: (815) 672-2600 |
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