Organization · Type 2 NPI
Gravnet L.l.c
Adolescent Medicine (Family Medicine) Physician · Champaign, IL
NPI number
1831965409
Active
Practice location
2608 Bershire Dr
Champaign, IL 61821-5703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician Primary | 207QA0000X | None listed |
| Adult Medicine Physician | 207QA0505X | None listed |
Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
About NPI 1831965409
Gravnet L.l.c's National Provider Identifier is 1831965409, issued on Nov 27, 2023. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Champaign, IL. The record was last updated on Nov 27, 2023.