OrganizationActive
Richard L Grant MD PC
NPI 1114000536 · Forensic Psychiatry Physician · Peoria, IL
Provider details
- NPI number
- 1114000536
- Entity type
- Organization
- Primary specialty
- Forensic Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Grant, President(309) 692-5550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7309 N Knoxville
Peoria, IL 61614
Phone: (309) 692-5550
Fax: (309) 692-5553
Approximate (ZIP-level) locationGet directions
Mailing address
709 Townes Court
Peoria, IL 61615-1381
Registry dates
- Enumerated
- 2006-10-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.