| NPI | 1124735402 |
|---|---|
| Doing Business As | GRAHAM CONVENIENT CARE |
| Entity Type | Organization |
| Authorized Contact | PAIGE FAHNESTOCK Credentialing Specialist 309-647-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2023-03-27 |