Individual
MS. BERNADINE M. GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
233 E ERIE ST, 601, CHICAGO, IL 60611-2926
(312) 943-7166
Mailing address
825 PARK AVE, RIVER FOREST, IL 60305-1327
(708) 771-8442
(708) 771-8442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01628006
BCBS
IL
Enumeration date
03/07/2007
Last updated
07/08/2007
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