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Organization
VA ILLIANA HEALTHCARE SYSTEM
Active
Organization
VA ILLIANA HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRYANNA ELYCE GRAHAM LMSW (SOCIAL WORKER)
(217) 554-3755
Entity
Organization
Contact information
Practice address
1901 E MAIN ST, MAIL SLOT 122, DANVILLE, IL 61832-5117
(217) 554-3755
(217) 554-4813
Mailing address
6 HEDGE CT, CHAMPAIGN, IL 61821-2015
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6906-M
AR
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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