Organization
DR. TIMOTHY J. GRAHAM PC
Active
Parent organization
DR. TIMOTHY J GRAHAM PC
Other names
Dr. Timothy J. Graham pc
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. TIMOTHY J GRAHAM PC
Authorized official
DR. TIMOTHY J GRAHAM DPM (OWNER)
(217) 287-7622
Entity
Organization
Contact information
Practice address
708 W SPRINGFIELD RD, TAYLORVILLE, IL 62568-1200
(217) 287-7622
(217) 287-2274
Mailing address
708 W SPRINGFIELD RD, TAYLORVILLE, IL 62568-1200
(217) 287-7622
(217) 287-2274
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003763
IL
Other
Enumeration date
01/09/2008
Last updated
02/12/2008
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