MEDICARE: MRS. COURTNEY MICHELLE GRAHAM

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	374J00000X	Doula		IL
2	235Z00000X	Speech-Language Pathologist	242.002810	IL

General Provider Information

NPI Number	:	1881027464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. COURTNEY MICHELLE GRAHAM

Provider Business Mailing Address
First Line	:	201 BAILEY LN
Second Line	:	REHAB DEPARTMENT
City	:	BENTON
State	:	IL
Zip	:	62812-1969
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11733 ANGELVILLE RD
Second Line	:
City	:	PITTSBURG
State	:	IL
Zip	:	62974-1840
Country	:	US
Telephone Number	:	618-240-0139
Fax Number	:

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

Provider Enumeration Date	:	08/19/2013
Last Update Date	:	03/30/2026

Similar Medicare Providers

1285942367 — MRS. JENNIFER SHERIDAN CCC-SLP
Practice Location Address:

376 PITTSBURG AVE
MASSAPEQUA PARK, NY
11762-1840

Practice Phone: 516-797-7708
Practice Fax:

1821264185 — JENNY L FELTY
Practice Location Address:

11131 PAULTON RD
PITTSBURG, IL
62974-1709

Practice Phone: 618-922-0717
Practice Fax:

1700343563 — ERIN NICOLE BAILEY COTA/L
Practice Location Address:

202 N CHURCH ST
PITTSBURG, IL
62974-1110

Practice Phone: 618-841-5272
Practice Fax:

1912610965 — SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Practice Location Address:

20163 CORINTH RD
PITTSBURG, IL
62974-1449

Practice Phone: 618-519-9200
Practice Fax: 618-988-0880

1508836362 — MRS. LYN E. FLAHARDY LCSW
Practice Location Address:

109 LOU ANN DR
HERRIN, IL
62948-3733

Practice Phone: 618-988-1330
Practice Fax: 618-988-8321

1629159124 — MR. WILLIAM JONES
Practice Location Address:

2300 W MAIN ST
MARION, IL
62959-1179

Practice Phone: 618-993-1406
Practice Fax: 618-993-5519

Directions to “ MRS. COURTNEY MICHELLE GRAHAM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.