IndividualActive
Elliot Grace, RSA
NPI 1730983248 · Peer Specialist · Dixon, IL
Provider details
- NPI number
- 1730983248
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- RSA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
325 Il Route 2
Dixon, IL 61021-9118
Phone: (815) 284-6611
Approximate (ZIP-level) locationGet directions
Mailing address
325 Il Route 2
Dixon, IL 61021-9118
Registry dates
- Enumerated
- 2025-04-03
- Last updated
- 2025-04-03
- Certified
- 2025-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.