PAUL GERARD GRAHAM


Address: 11134 Prairie Wind Pl, Roscoe, IL 61073-6504
Phone: 8156232536

PAUL GERARD GRAHAM (NPI# 1558577247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558577247
Entity Type Individual
Full Name PAUL GERARD GRAHAM
Credential RN
Practice Address 11134 Prairie Wind Pl
Roscoe
IL 61073-6504
Practice Telephone 8156232536
Mailing Telephone 8156232536
Enumeration Date 2007-05-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0400X Registered Nurse
Specialization: Case Management
IL Nursing Service Providers

Other Providers PAUL GRAHAM

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1720406580 Paul M Graham Dermatology 5210 Webb Rd, Tampa, FL 33615-4518 2014-03-30
1811190903 Paul Hardin Graham Surgery 1515 Holcombe Blvd, Houston, TX 77030-4009 2007-06-07
1871631655 Paul David Graham Marriage & Family Therapist 2545 Ceanothus Ave, Suite 130, Chico, CA 95973-7611 2007-02-02
1881777332 Paul Abram Graham Internal Medicine 2835 20th Street, Building C, Vero Beach, FL 32960 2006-10-20

Office Location

Street Address 11134 PRAIRIE WIND PL
City ROSCOE
State IL
Zip Code 61073-6504

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396234746 Zachary J Rio Physical Therapist 4675 Bluestem Rd Ste 1, Roscoe, IL 61073 2018-05-01
1548702954 Vicki Foti Registered Nurse 4828 Rockton Road, Roscoe, IL 61073 2016-11-16
1174074975 James B Garrison Social Worker 11447 2nd St, Ste 9b, Roscoe, IL 61073 2016-10-18
1932457355 Annie Pamela Stephens Chiropractor 11673 Main St., Roscoe, IL 61073 2012-08-15
1255602819 Trent Michael Hippard Chiropractor 15724 B Elevator Rd, Roscoe, IL 61073 2012-01-13
1689856437 Martha M Muldowney Dentist 5464 Pine Lane, Roscoe, IL 61073 2007-12-04
1396885794 Richard Scott Newcomb Optometrist 11710 Main St Suite 2, Roscoe, IL 61073 2007-02-07
1356459754 Margaret Allensworth Franklin Counselor 9830 Double Ditch Circle, Roscoe, IL 61073 2006-08-26
1811002660 Cjn Therapy Services LLC Counselor 5334 Williams Drive, Roscoe, IL 61073 2006-08-20
1033142575 Trina Renee Morgan Chiropractor 5724 B Elevator Rd, Roscoe, IL 61073 2006-07-08
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Taxonomy Information

Taxonomy Code 163WC0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Case Management

Taxonomy Definition

Definition to come...

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1609347269 Deborah De La Haye Registered Nurse 3523 W 76th St, Chicago, IL 60652-1405 2018-12-07
1336619188 Sutara M Giles Registered Nurse 13933 Laramie Ave Apt 205, Crestwood, IL 60418-1654 2018-12-04
1487124335 Albeza Veronica Ruiz Registered Nurse 2331 199th St, Lynwood, IL 60411-9665 2018-12-03
1407322837 Lawanda Burnett-berry Registered Nurse 1801 W Polk St, Suite 154, Chicago, IL 60612 2018-10-24
1891262226 Cyndril Bendijo Carreon-palencia Registered Nurse 1900 W Polk St Rm 154, Chicago, IL 60612-3723 2018-10-24
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Competitor

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City ROSCOE
Zip Code 61073

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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