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Search › Illinois › General Practice Dentistry

Ivan Graham, DDS

NPI 1669439865 · on the registry since 2006

Practice

Address
5501 S Halsted St
Chicago, IL 60621
Phone
(773) 275-2586
Organisation at this address
Third Coast Rx Llc
Third Coast Rx Llc
Heartland Alliance Health
Heartland Alliance Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Additional practice sites

  • 1368 Countryridge Pl, Orlando, FL

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
General Practice Dentistry
Licence states on file
IL, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-07

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