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Search › Illinois › 363L00000X

Angela Graham, CPNP-AC

NPI 1902105760 · on the registry since 2011

Practice

Address
210 W Walnut St
Canton, IL 61520
Phone
(309) 647-5240
Fax
(309) 649-5128
Organisation at this address
Jae Kim, M.D.
Graham Hospital Association
Graham Hospital Association
Graham Hospital Association
Graham Hospital Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LP0222X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-12

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