Active NPI
Christina Graham, APRN
- Primary Care Nurse Practitioner
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 277.001020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277.001020 | IL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush Oak Park Physicians Group Adult Medicine | Adult Health | Current | Accepting new patients |
| Rush Oak Park Physicians Group North Riverside | Adult Health | Current | 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.
-
- Adult Medicine Physician
- Oak Park, IL
- NPI 1548531924
Adult Health
-
- Internal Medicine Physician
- North Riverside, IL
- NPI 1003186255
Adult Health
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Nurse Practitioner
- Merrillville, IN
- NPI 1619335700
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.