NPI 1811607138
Graybridge Health, Nfp
Practice location
- Address
- 520 E Lincoln Ave, Libertyville, IL 60048-2923
- Phone
- (224) 360-7103
Authorised official
- Name
- Kenneth J Grayer
- Title
- Ceo
- Phone
- (224) 360-7103
Registered specialties (2)
Meals Provider
Primary
Voluntary or Charitable Agency
Registry record
- NPI
- 1811607138
- Entity type
- Organization
- NPI issued
- 28 Nov 2022
- Record last updated
- 28 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.