Individual
JACKSON GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(217) 971-5748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.162138
IL
208000000X
Pediatrics Physician
Primary
036.162138
IL
Other
Enumeration date
04/21/2019
Last updated
02/28/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us