Louis S Graham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018517 Issued in IL

Practice address

5549 S Cornell Ave
Chicago, IL 60637-1914

Phone

(773) 684-5702

Fax

(773) 684-5493

NPI assigned

Jan 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1427329192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5549 S CORNELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371914",
            "telephone_number": "773-684-5702",
            "fax_number": "773-684-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5549 S CORNELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371914",
            "telephone_number": "773-684-5702",
            "fax_number": "773-684-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LOUIS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ross Graham, MSW
• Kahla J Graham
• Kendra Graham, M.A. SLP
• Kristi J. Graham, PHD
• Krystle M. Graham, AGACNP-BC
• Mary Layne Graham, BS, RDN, LDN
• Melissa Nolasco Graham, OTR/L
• Michael Graham Jr.
• Nancy E Graham, CNM,APN
• Nathan James Graham, MD

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.