Individual
DONALD R. GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 N 8TH ST, SPRINGFIELD, IL 62701-1041
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036060578
IL
207RI0200X
Infectious Disease Physician
036-060578
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060578
—
IL
Enumeration date
09/16/2006
Last updated
02/03/2025
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