Clyde Grady
Clyde Grady is a Family Practice in Knoxville, Illinois. Graduated from Southern Illinois University School of Medicine in 1995, 31 years ago. Practices with Southeast Iowa Regional Medical Center Inc, a 258-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 31
- Trained at
- Southern Illinois University School of Medicine
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
104 S Broad StKnoxville, IL 61448-1339
Phone: (309) 289-2335
Fax: (309) 289-8196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (IL) |
|---|
Record details
| NPI number | 1851484075 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 2, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 104 S Broad St, Knoxville, IL 61448-1339 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1995 (31 years in practice) |
| Group practice | Southeast Iowa Regional Medical Center Inc — 258 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |