EMILYE GRANT, PHYSICIAN ASSISTANT

Physician Assistant

Active Individual
NPI: 1396721189

Practice Address

1750 E LAKE SHORE DR
Decatur, IL 62521

Phone: (217) 464-1750

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 085005568 (IL)
Physician Assistant - Medical 363AM0700X No PA30148 (DC)

Frequently Asked Questions

NPI 1396721189 is the National Provider Identifier for EMILYE GRANT, PHYSICIAN ASSISTANT, a Physician Assistant provider located in Decatur, IL. This NPI was enumerated on December 22, 2005.
EMILYE GRANT, PHYSICIAN ASSISTANT practices at 1750 E LAKE SHORE DR, Decatur, IL 62521.

Quick Facts

NPI
1396721189
Type
Individual
Enumerated
Dec 22, 2005
Last Updated
Oct 21, 2025

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