PAUL GERARD GRAHAM RN NPI 1558577247

NPI Information

NPI: 1558577247
Provider Name: PAUL GERARD GRAHAM, RN
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
11134 PRAIRIE WIND PL
ROSCOE, IL
ZIP 61073
Phone: (815) 623-2536
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Paul Gerard Graham, RN is a case management registered nurse in Roscoe, IL. Paul Gerard Graham, RN NPI is 1558577247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11134 PRAIRIE WIND PL
ROSCOE, IL
ZIP 61073-504
Phone: (815) 623-2536

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/8/2007.

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
1	163WC0400X	Registered Nurse	Case Management		ILLINOIS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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