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Drs Graham & Graham Ltd
Foot & Ankle Surgery Podiatrist in Decatur, Illinois
NPI 1023220720

Drs Graham & Graham Ltd is a Foot & Ankle Surgery Podiatrist based in Decatur, IL and is specialized in Foot & Ankle Surgery. Drs Graham & Graham Ltd practices in Decatur, IL. The NPI Number for Drs Graham & Graham Ltd is 1023220720 and holds a License No. 016-003032 (Illinois).

The current practice location address for Drs Graham & Graham Ltd is 102 W Kenwood Ave, Decatur, IL and can be reached out via phone at 217-875-3668 and via fax at 217-845-4277.

Location: 102 W Kenwood Ave, Decatur, IL, 62526-4368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023220720
Provider Name
Drs Graham & Graham Ltd
Credential
Provider Entity Type
Organization
Address
102 W Kenwood Ave, Decatur, IL, 62526-4368
Phone Number
217-875-3668
Fax Number
217-845-4277
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CC0187 01 IL RR GROUP
institution
Provider Business Practice Location Address Details
Address
102 W Kenwood Ave
City
Decatur
State
Illinois
Zip
62526-4368
Phone Number
217-875-3668
Fax Number
217-845-4277
person
Provider Business Mailing Address Details
Address
102 W Kenwood Ave
City
Decatur
State
Illinois
Zip
62526-4368
Phone Number
217-875-3668
Fax Number
217-845-4277
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
016-003032 (Illinois)
Definition
Definition to come...
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