Search › Illinois › 224Z00000X
Jaden Graham
NPI 1659008142 · on the registry since 2022 · sole proprietor
Practice
- Address
- 601 Lutz Rd
Bloomington, IL 61704 - Phone
- (309) 557-8000
- Organisation at this address
- Luther Oaks Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Sex
- Female
- Record last updated
- 2022-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois