Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT THOMAS GRACEFFA, IDC
Active Sole ProprietorBRENT THOMAS GRACEFFA, IDC is a Independent Duty Corpsman healthcare provider located in ROCKTON, Illinois. NPI 1306255641 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · ROCKTON, IL
Registration Details
- NPI Number
- 1306255641
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2014 (11.96357268939 yrs)
- Last Updated
- Aug 12, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 STRAWBRIDGE DRROCKTON, IL, 610722957Browse IL providers · Browse ZIP 61072
- Phone
- 7602121995
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.