# DRS GRAHAM & GRAHAM LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Drs Graham & Graham LTD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023220720
- **Authorized official:** DR. TERRENCE M GRAHAM DPM, FACFAS (PRESIDENT)
- **Authorized official phone:** (271) 875-3668

## Contact information

- **Practice address:** 102 W KENWOOD AVE, SUITE 150, DECATUR, IL 62526-4368
- **Practice address phone:** (217) 875-3668
- **Practice address fax:** (217) 845-4277
- **Mailing address:** 102 W KENWOOD AVE, SUITE 150, DECATUR, IL 62526-4368
- **Mailing address phone:** (217) 875-3668
- **Mailing address fax:** (217) 845-4277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 016-003032 | IL | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 06/21/2018
