Lee Douglas Graham, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

036079117 Issued in IL

Practice address

801 N Cass Ave
150
Westmont, IL 60559-1162

Phone

(630) 268-0200

Fax

(630) 268-0233

NPI assigned

Apr 19, 2006

Last updated

Jan 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1619932027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N CASS AVE",
            "address_2": "150",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591162",
            "telephone_number": "630-268-0200",
            "fax_number": "630-268-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LEE",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036079117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079117",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Gosell, LPC
• Grace Integrated PLLC
• Grace Integrated, LLC
• Kathryn L Grady, D.D.S.
• Martin Joseph Grady, D.D.S.
• Olivia Hawk Graham
• Megan Grandys, LCSW
• Graun Chiropractic Clinic
• Connor Tuttle Graves, OTD, OTR/L
• Lisa-Marie A. Gray, PA-C

• Rheumatology Physician in Westmont, IL
• Providers in Westmont, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.