Mcgraw, Michael J

Mcgraw, Michael J is an individual health care provider with primary practice located at 245 S Gary Ave Suite 100, Bloomingdale IL 60108-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mcgraw, Michael J can be contacted via phone (630) 924-4009.

Contact Information

Primary practice address
245 S Gary Ave Suite 100 Bloomingdale IL 60108-2200
Fax: (630) 924-9671
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036091116 Illinois

Profile Details

NPI number 1275568289
LBN Legal business name Mcgraw, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 12th, 2013 - about 13 years ago

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 1275568289 NPPES
Illinois Other 3631498336019001 CDPG HFS PAYEE ID
Illinois MEDICAID 036091116 CDPG HFS PAYEE ID
Illinois Other 0222075 CDPG HFS PAYEE ID
Illinois Other 363149833 CDPG HFS PAYEE ID

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