MEDICARE: PATRICIA A GRAHAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036126496	IL

General Provider Information

NPI Number	:	1407017809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA A GRAHAM MD

Provider Business Mailing Address
First Line	:	3030 W SALT CREEK LANE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1069
Country	:	US
Telephone Number	:	847-870-4780
Fax Number	:	847-483-7447

Provider Business Practice Location Address
First Line	:	1515 W DUNDEE RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-1435
Country	:	US
Telephone Number	:	847-590-1515
Fax Number	:	847-590-1514

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	01/30/2025

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