Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leah Gravesen

Individual provider Family Nurse Practitioner · NPI 1477191336

Leah Gravesen is a Nurse Practitioner in Streator, Illinois. Qualified in 2019, 7 years ago. Practices with Applebaum Physiatry PLLC, a 137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019

Practice location Address checks out

311 S Otter Creek Rd
Streator, IL 61364-3117
Phone: (815) 257-5324
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 106 Karen Dr, Dwight, IL 60420-1600 — (815) 257-5324

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209020593 (IL)

Record details

NPI number1477191336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 11, 2019
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 14, 2022
Mailing address106 Karen Dr, Dwight, IL 60420-1600

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Applebaum Physiatry Pllc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Streator