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Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Other names
Graham Medical Group Macomb
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE REEDER (VICE PRESIDENT OF FINANCE & CFO)
(309) 647-5240
Entity
Organization
Contact information
Practice address
1630 E JACKSON ST, MACOMB, IL 61455-2530
(309) 647-0201
Mailing address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
(309) 647-8613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/17/2022
Last updated
03/28/2023
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