MRS. RITA RAE GRAHAM NCTMB NPI 1003149766

NPI Information

  • NPI: 1003149766
  • Provider Name: MRS. RITA RAE GRAHAM, NCTMB
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1244 AMERICAN WAY
    LIBERTYVILLE, IL
    ZIP 60048
  • Phone: (847) 549-9595

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NPI Details

MRS. Rita Rae Graham, NCTMB is a specialist in Libertyville, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MRS. Rita Rae Graham, NCTMB NPI is 1003149766. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1244 AMERICAN WAY
LIBERTYVILLE, IL
ZIP 60048-936
Phone: (847) 549-9595
Fax: (847) 549-9596

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist227008684ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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