Graham, Lee Douglas
Graham, Lee Douglas is an individual health care provider with primary practice located at 801 N Cass Ave 150, Westmont IL 60559-1162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Graham, Lee Douglas can be contacted via phone (630) 268-0200.Contact Information
Primary practice address
801 N Cass Ave 150
Westmont IL 60559-1162
Phone: (630) 268-0200
Fax: (630) 268-0233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 036079117 | Illinois |
Profile Details
| NPI number | 1619932027 |
|---|---|
| LBN Legal business name | Graham, Lee Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jan 24th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619932027 | NPPES |
| Illinois | MEDICAID | 036079117 |
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