person
Dr. Terrence M Graham, DPM,FACFAS
Foot & Ankle Surgery Podiatrist in Decatur, Illinois
NPI 1972585990

Terrence M Graham is a Foot & Ankle Surgery Podiatrist based in Decatur, IL and is specialized in Foot & Ankle Surgery. Terrence M Graham practices in Decatur, IL and has the professional credentials of DPM,FACFAS. The NPI Number for Terrence M Graham is 1972585990 and holds a License No. 016003032 (Illinois).

The current practice location address for Terrence M Graham is 2 Memorial Dr Ste 305, Decatur, IL and can be reached out via phone at 217-876-4830 and via fax at 217-876-8385. You can also correspond with Terrence M Graham through the mailing address at 102 W KENWOOD AVE, DECATUR, IL - 62526-4368 (mailing address contact number: 217-875-3668).

Location: 2 Memorial Dr Ste 305, Decatur, IL, 62526-4368
person
Provider Profile Details
NPI Number
1972585990
Provider Name
Terrence M Graham
Credential
DPM,FACFAS
Provider Entity Type
Individual
Gender
Male
Address
2 Memorial Dr Ste 305, Decatur, IL, 62526-4368
Phone Number
217-876-4830
Fax Number
217-876-8385
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0060215009 01 IL BCBS
480008850 01 IL RR MEDICARE
016003032 05 IL
institution
Provider Business Practice Location Address Details
Address
2 Memorial Dr Ste 305
City
State
Zip
62526-3999
Phone Number
217-876-4830
Fax Number
217-876-8385
person
Provider Business Mailing Address Details
Address
2 Memorial Dr Ste 305
City
State
Zip
62526-3999
Phone Number
217-876-4830
Fax Number
217-876-8385
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016003032 (Illinois)
Definition
Definition to come...
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