Gravnet L.l.c | |
2608 Bershire Dr Champaign IL 61821-5703 | |
(630) 481-6399 | |
Not Available |
Full Name | Gravnet L.l.c |
---|---|
Speciality | Family Medicine - Adolescent Medicine |
Location | 2608 Bershire Dr, Champaign, Illinois |
Authorized Official Name and Position | Jay Patel (MEDICAL DIRECTOR) |
Authorized Official Contact | 6304816399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gravnet L.l.c 2608 Bershire Dr Champaign IL 61821-5703 Ph: (630) 481-6399 | Gravnet L.l.c 2608 Bershire Dr Champaign IL 61821-5703 Ph: (630) 481-6399 |
NPI Number | 1831965409 |
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Provider Enumeration Date | 11/27/2023 |
Last Update Date | 11/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831965409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Secondary |
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