Gretchen Graham D.C., PT

NPI 1336330208 - Chiropractor - 111N00000X

NPI Details
NPI 1336330208
Gender Female
Enumeration Date 08/06/2007
Last Updated 07/21/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
930 PYOTT RD
SUITE 102
CRYSTAL LAKE IL, 60014-8720, US
Phone (847) 854-4889
Fax (847) 854-4890
Business Location
930 PYOTT RD
SUITE 102
CRYSTAL LAKE IL, 60014-8720, US
Phone (847) 854-4889
Fax (847) 854-4890
Toxanomy
Taxonomy Code 111N00000X
License State Illinois
License Number 038.010992
Remove 1336330208 NPI Number
 

According to our database, Gretchen Graham D.C., PT NPI is 1336330208, taxonomy code is 111N00000X and license number is 038.010992, license state is located at Illinois. Gretchen Graham D.C., PT physically located at 930 Pyott Rd, Crystal Lake IL, 60014-8720. NPI Number Gretchen Graham D.C., PT has the Individual type.

Sponsored links

1336330208 NPI number is provided on an as is basis without warranty of any kind. 1336330208 is maintained by the National Plan & Provider Enumeration System. The contents of Gretchen Graham D.C., PT are for informational purposes only.