Individual provider Active NPI

Christina Graham, APRN

  • Primary Care Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1154730323
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
277.001020 Issued in IL
Practice address
2209 Arbor Cir Apt 35
Downers Grove, IL 60515-2521
Phone
(630) 229-1353
NPI assigned
Aug 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 277.001020 IL Primary

Addresses

Primary practice location

2209 Arbor Cir Apt 35
Downers Grove, IL 60515-2521

Mailing address

2209 Arbor Cir Apt 35
Downers Grove, IL 60515-2521
Phone (630) 229-1353

Other practice location 1

5900 Forest View Rd
Apt 2A
Lisle, IL 60532-3068
Phone (630) 229-1353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930002782 IL Practitioner - Nurse Practitioner 2264652940 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277.001020ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Oak Park Physicians Group Adult Medicine Adult Health CurrentSince Feb 1, 2015 Accepting new patients
Rush Oak Park Physicians Group North Riverside Adult Health CurrentSince Feb 1, 2015 Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

75 Remittance Dr
Chicago, IL 60675

610 S Maple Ave
Ste 4600
Oak Park, IL 60304
Phone (708) 660-2240

7222 W Cermak Rd
Ste 700
Riverside, IL 60546
Phone (708) 660-6400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1154730323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 ARBOR CIR APT 35",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152521",
            "telephone_number": "630-229-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 ARBOR CIR APT 35",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152521",
            "telephone_number": "630-229-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Forest View Rd",
            "address_2": "Apt 2A",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605323068",
            "country_code": "US",
            "telephone_number": "630-229-1353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHRISTINA",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-12",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "277.001020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.