| Richard R Grayson Md Pc | |
|
330 Maple Ln Batavia IL 60510-1204 | |
| (630) 377-7073 | |
| (630) 406-1380 |
| Full Name | Richard R Grayson Md Pc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 330 Maple Ln, Batavia, Illinois |
| Authorized Official Name and Position | Richard R Grayson (PRES) |
| Authorized Official Contact | 6303777073 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard R Grayson Md Pc 330 Maple Ln Batavia IL 60510-1204 Ph: (630) 377-7073 | Richard R Grayson Md Pc 330 Maple Ln Batavia IL 60510-1204 Ph: (630) 377-7073 |
| NPI Number | 1093989576 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093989576 | NPI | - | NPPES |
| 1205859295 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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