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708 W Springfield Rd, Taylorville, IL 62568-1200 | |
(217) 287-7622 | |
(217) 287-2274 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 708 W Springfield Rd, Taylorville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760667703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | 016003763 (Illinois) | Primary |
Provider Name | Timothy J Graham |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1134213119 PECOS PAC ID: 4688734379 Enrollment ID: I20081126000079 |
Mailing Address | Practice Location Address |
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708 W Springfield Rd, Taylorville, IL 62568-1200 Ph: (217) 287-7622 | 708 W Springfield Rd, Taylorville, IL 62568-1200 Ph: (217) 287-7622 |
Dr. Timothy J Graham, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 708 W Springfield Rd, Taylorville, IL 62568 Phone: 217-287-7622 Fax: 217-287-2274 |