Organization
GRAHAM SERVICES CORPORATION
Active
Other names
Coleman Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRIS DUVENDACK (VP OF CLINIC OPERATIONS)
(309) 647-0201
Entity
Organization
Contact information
Practice address
175 S MAIN ST, CANTON, IL 61520-2670
(309) 647-0201
(309) 647-0201
Mailing address
175 S MAIN ST, CANTON, IL 61520-2670
(309) 647-0201
(309) 647-0201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
207R00000X
Internal Medicine Physician
—
IL
207V00000X
Obstetrics & Gynecology Physician
—
IL
207X00000X
Orthopaedic Surgery Physician
—
IL
208000000X
Pediatrics Physician
—
IL
208600000X
Surgery Physician
—
IL
363L00000X
Nurse Practitioner
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062839
UMWA
IL
01
—
02922981
BCBS
IL
01
—
200397
BLACK LUNG
IL
01
—
CG5172
RAILROAD MEDICARE
IL
Enumeration date
08/20/2006
Last updated
12/04/2007
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