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Gravnet L.l.c
Adult Medicine Physician in Champaign, Illinois
NPI 1831965409

Gravnet L.l.c is an Adult Medicine Physician based in Champaign, IL and is specialized in Adult Medicine. Gravnet L.l.c practices in Champaign, IL. The NPI Number for Gravnet L.l.c is 1831965409 and holds a License No. (Illinois).

The current practice location address for Gravnet L.l.c is 2608 Bershire Dr, Champaign, IL and can be reached out via phone at 630-481-6399.

Location: 2608 Bershire Dr, Champaign, IL, 61821-5703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831965409
Provider Name
Gravnet L.l.c
Credential
Provider Entity Type
Organization
Address
2608 Bershire Dr, Champaign, IL, 61821-5703
Phone Number
630-481-6399
Fax Number
Provider Enumeration Date
11/27/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2608 Bershire Dr
City
Champaign
State
Illinois
Zip
61821-5703
Phone Number
630-481-6399
Fax Number
person
Provider Business Mailing Address Details
Address
2608 Bershire Dr
City
Champaign
State
Illinois
Zip
61821-5703
Phone Number
630-481-6399
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
()
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
()
Definition
Definition to come.
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