Individual
ALI N GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
20 N MICHIGAN AVE LBBY 103, CHICAGO, IL 60602-4817
(312) 236-0660
(312) 236-1219
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-025436
IL
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2017
Last updated
10/14/2021
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