Individual
DR. CHRISTOPHER MARK GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036143242
IL
207XP3100X
Pediatric Orthopaedic Surgery Physician
036143242
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036143242
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47081304012
—
NE
Enumeration date
05/27/2010
Last updated
07/21/2022
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