Individual
GRACE ANNE KUMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 MAIN ST # 72061602, PEORIA, IL 61602-1005
(309) 495-1640
Mailing address
900 MAIN ST STE 720, PEORIA, IL 61602-5027
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.176194
IL
Other
Enumeration date
05/14/2021
Last updated
08/11/2025
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