Graham, Donald R.

Graham, Donald R. is an individual health care provider with primary practice located at 301 N 8Th St , Springfield IL 62701-1041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Graham, Donald R. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
301 N 8Th St Springfield IL 62701-1041
Phone: (217) 528-7541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036-060578 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036060578 Illinois

Profile Details

NPI number 1508962366
LBN Legal business name Graham, Donald R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Feb 3rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508962366 NPPES
Illinois MEDICAID 036060578

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