Ingraham, Gregory Kirby

Ingraham, Gregory Kirby is an individual health care provider with primary practice located at 1150 Route 54 W , Clinton IL 61727-2148. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Ingraham, Gregory Kirby can be contacted via phone (217) 935-9496.

Contact Information

Primary practice address
1150 Route 54 W Clinton IL 61727-2148
Phone: (217) 935-9496
Fax: (217) 935-4508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois

Profile Details

NPI number 1871780700
LBN Legal business name Ingraham, Gregory Kirby
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2007
Last updated Sep 25th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers