DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STEPHANIE AMBER GRANT

MEDICARE: STEPHANIE AMBER GRANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209035492IL

General Provider Information

NPI Number : 1235061557
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE AMBER GRANT
Provider Business Mailing Address
First Line : 4800 MAINE ST STE 48-200
Second Line :
City : QUINCY
State : IL
Zip : 62305-5875
Country : US
Telephone Number : 217-223-8400
Fax Number :
Provider Business Practice Location Address
First Line : 4800 MAINE ST STE 48-200
Second Line :
City : QUINCY
State : IL
Zip : 62305-5875
Country : US
Telephone Number : 217-223-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

Similar Medicare Providers

1467442251 — DR. DUANE ANTHONY HANZEL DPM
Practice Location Address:
4800 MAINE ST
QUINCY, IL
62305-5875
Practice Phone: 217-214-3823
Practice Fax: 217-277-5596
1962481366 — DR. BARRY ALLAN WERRIES M.D.
Practice Location Address:
4800 MAINE ST
QUINCY, IL
62305-5875
Practice Phone: 217-214-0444
Practice Fax:
1821048372 — MR. WILLIAM A ANDEL ANP
Practice Location Address:
4800 MAINE ST
QUINCY, IL
62305-5875
Practice Phone: 217-214-0444
Practice Fax: 217-214-9638
1881621001 — ARSHAD R MUZAFFAR MD
Practice Location Address:
4800 MAINE ST
QUINCY, IL
62305-5875
Practice Phone: 217-214-6255
Practice Fax:
1396761318 — BRYAN JAMES PIMLOTT M.D.
Practice Location Address:
4800 MAINE ST
QUINCY, IL
62305-5875
Practice Phone: 217-214-0444
Practice Fax:
1376567354 — JOHN R.S. DEGUZMAN M.D.
Practice Location Address:
4800 MAINE ST
QUINCY, IL
62305-5875
Practice Phone: 217-214-0444
Practice Fax: 217-277-5596

Directions to “ STEPHANIE AMBER GRANT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.