Individual
RICHARD ALLEN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-A
Contact information
Practice address
ILLIANA VAMC, 1900 EAST MAIN ST, DANVILLE, IL 61832
(217) 554-5622
Mailing address
2238 CHURCHILL DR, SAINT JOSEPH, IL 61873-9412
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
14700927
IL
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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