Organization
GRAHAM HOSPITAL ASSOCIATION
Active
Other names
Graham Medical Group Macomb
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE REEDER (VICE PRESIDENT OF FINANCE & CFO)
(309) 647-5240
Entity
Organization
Contact information
Practice address
1630 E JACKSON ST, MACOMB, IL 61455-2530
(309) 647-0201
Mailing address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
(309) 647-8613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/17/2022
Last updated
03/28/2023
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