Individual
GRACE M LEYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
107 S STATE ST, MONTICELLO, IL 61856-1968
(217) 762-2155
(217) 762-9062
Mailing address
620 N LOGAN AVE, DANVILLE, IL 61832-4362
(217) 442-1900
(217) 442-1765
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3228
IL
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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