Leah Gray, LPN is a 
Licensed Practical Nurse based in Streator, Illinois. Leah Gray is licensed to practice in Illinois (license number 043.110933) and her current practice location is 
516 W Frech St, Streator, Illinois. She can be reached at her office (for appointments etc.) via phone at 
(815) 672-2600.
NPI number for Leah Gray is 1720740343 and her current mailing address is 409 N Peoria St, Magnolia, Illinois. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720740343.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Leah Gray | 
|---|
| Gender | Female | 
|---|
| Speciality | Licensed Practical Nurse | 
|---|
| Location | 516 W Frech St, Streator, Illinois | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1720740343
 - Provider Enumeration Date: 10/11/2021
 - Last Update Date: 10/11/2021
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Leah Gray such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1720740343 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 164W00000X | Licensed Practical Nurse  | 043.110933 (Illinois) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leah Gray is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Leah Gray, LPN 409 N Peoria St, Magnolia, IL 61336-9665 Ph: (815) 257-7117 | Leah Gray, LPN 516 W Frech St, Streator, IL 61364-1216 Ph: (815) 672-2600 | 
		
		 
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