Individual
PAYTON ROSE GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
875 N RUSH ST FL 2, CHICAGO, IL 60611-2030
(872) 274-2224
Mailing address
512 N MCCLURG CT APT 3211, CHICAGO, IL 60611-4170
(303) 325-6938
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209031444
IL
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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