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Andrea Graham
Family Nurse Practitioner in Dekalb, Illinois
NPI 1922720218

Andrea Graham is a Family Nurse Practitioner based in Dekalb, IL and is specialized in Family. Andrea Graham practices in Dekalb, IL. The NPI Number for Andrea Graham is 1922720218 and holds a License No. 209.025909 (Illinois).

The current practice location address for Andrea Graham is 2563 Sycamore Rd, Dekalb, IL and can be reached out via phone at 779-270-0223.

Location: 2563 Sycamore Rd, Dekalb, IL, 60115-2051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922720218
Provider Name
Andrea Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
2563 Sycamore Rd, Dekalb, IL, 60115-2051
Phone Number
779-270-0223
Fax Number
Provider Enumeration Date
09/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2563 Sycamore Rd
City
Dekalb
State
Illinois
Zip
60115-2051
Phone Number
779-270-0223
Fax Number
person
Provider Business Mailing Address Details
Address
2563 Sycamore Rd
City
Dekalb
State
Illinois
Zip
60115-2051
Phone Number
779-270-0223
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.025909 (Illinois)
Definition
Definition to come...
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