SearchIllinois363LF0000X

Andrea Graham

NPI 1922720218 · on the registry since 2022 · sole proprietor

Practice

Address
2563 Sycamore Rd
Dekalb, IL 60115
Phone
(779) 270-0223
Clinicians at this address
5

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-14

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