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Contact Information

TIMOTHY J GRAHAM, DPM
708 W SPRINGFIELD RD
TAYLORVILLE, IL62568-1200
 Phone: 217-287-7622
 Fax: 217-287-2274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TIMOTHY J GRAHAM · (Male)

NPI Number 1134213119
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/03/2006
Last updated 11/17/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016003763
Hospital affiliation(s)
  • TAYLORVILLE MEMORIAL HOSPITAL - (Critical Access)
    201 EAST PLEASANT STREET
    TAYLORVILLE, IL 62568
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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