Mr Brian Douglas Graham, OTR/L - Occupational Therapist in Chicago, IL

Mr Brian Douglas Graham, OTR/L is a Occupational Therapist based in Chicago, Illinois. Mr Brian Douglas Graham is licensed to practice in Illinois (license number 056.009153) and his current practice location is 820 S Damen Ave, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at (312) 569-6392.

NPI number for Mr Brian Douglas Graham is 1457651374 and his current mailing address is 820 S Damen Ave, Chicago, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457651374.

Contact Information

Mr Brian Douglas Graham, OTR/L
820 S Damen Ave,
Chicago, IL 60612-3728
(312) 569-6392
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Brian Douglas Graham
GenderMale
SpecialityOccupational Therapist
Location820 S Damen Ave, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457651374
  • Provider Enumeration Date: 10/26/2010
  • Last Update Date: 10/26/2010

Medical Identifiers

Medical identifiers for Mr Brian Douglas Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457651374NPI-NPPES
277447OtherTHE NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.
056.009153OtherILILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 056.009153 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brian Douglas Graham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Brian Douglas Graham, OTR/L
820 S Damen Ave,
Chicago, IL 60612-3728

Ph: (312) 569-6392
Mr Brian Douglas Graham, OTR/L
820 S Damen Ave,
Chicago, IL 60612-3728

Ph: (312) 569-6392

Reviews and Comments


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