Individual
LEE DOUGLAS GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 N CASS AVE, 150, WESTMONT, IL 60559-1162
(630) 268-0200
(630) 268-0233
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
036079117
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079117
—
IL
Enumeration date
04/19/2006
Last updated
01/24/2011
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