Individual
DR. TIMOTHY J GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
708 W SPRINGFIELD RD, TAYLORVILLE, IL 62568-1200
(217) 287-7622
(217) 287-2274
Mailing address
708 W SPRINGFIELD RD, TAYLORVILLE, IL 62568-1200
(217) 287-7622
(217) 287-2274
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003763
IL
Other
Enumeration date
10/03/2006
Last updated
11/17/2009
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