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Organization

ROBERT O GRAHAM MDSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT O GRAHAM M.D.,S.C. (PRESIDENT)
(312) 573-9292
Entity
Organization

Contact information

Practice address
711 W NORTH AVE, SUITE 206, CHICAGO, IL 60610-1174
(312) 573-9292
(312) 573-9297
Mailing address
711 W NORTH AVE, SUITE 206, CHICAGO, IL 60610-1174
(312) 573-9292
(312) 573-9297

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
07/06/2006
Last updated
08/22/2020
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