Individual
LEANDRA REGINA GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CATON FARM RD TRLR 95, LOCKPORT, IL 60441-3919
(708) 994-4341
(708) 994-4341
Mailing address
300 CATON FARM RD TRLR 95, LOCKPORT, IL 60441-3919
(708) 994-4341
(708) 994-4341
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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