| Va Illiana Healthcare System | |
|
1901 E Main St Mail Slot 122 Danville IL 61832-5117 | |
| (217) 554-3755 | |
| (217) 554-4813 |
| Full Name | Va Illiana Healthcare System |
|---|---|
| Speciality | Social Worker |
| Location | 1901 E Main St, Danville, Illinois |
| Authorized Official Name and Position | Bryanna Elyce Graham (SOCIAL WORKER) |
| Authorized Official Contact | 2175543755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Va Illiana Healthcare System 6 Hedge Ct Champaign IL 61821-2015 Ph: () - | Va Illiana Healthcare System 1901 E Main St Mail Slot 122 Danville IL 61832-5117 Ph: (217) 554-3755 |
| NPI Number | 1457734469 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457734469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 6906-M (Arkansas) | Primary |
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