Healthcare Provider Details

I. General information

NPI: 1205373461
Provider Name (Legal Business Name): BRITTANY GRAFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2017
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28600 BELLA VISTA PKWY # 2010A
WARRENVILLE IL
60555-1604
US

IV. Provider business mailing address

28600 BELLA VISTA PKWY # 2010A
WARRENVILLE IL
60555-1604
US

V. Phone/Fax

Practice location:
  • Phone: 312-421-1016
  • Fax: 833-449-3822
Mailing address:
  • Phone: 312-421-1016
  • Fax: 833-449-3822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.016052
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.453404
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28203094A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: