Individual provider · Type 1 NPI

Rita Rae Graham, NCTMB

Specialist · Libertyville, IL

NPI number 1003149766 Active

Practice location

1244 American Way
Libertyville, IL 60048-3936

Call (847) 549-9595 Map

Fax (847) 549-9596

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X227008684 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003149766

Rita Rae Graham, NCTMB's National Provider Identifier is 1003149766, issued on Sep 14, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Libertyville, IL. The record was last updated on Sep 14, 2009.