Provider Demographics
NPI:1205373461
Name:GRAFT, BRITTANY
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:GRAFT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15900 W 127TH ST STE 221A
Mailing Address - Street 2:
Mailing Address - City:LEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60439-2914
Mailing Address - Country:US
Mailing Address - Phone:312-421-1016
Mailing Address - Fax:312-421-1017
Practice Address - Street 1:15900 W 127TH ST STE 221A
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-2914
Practice Address - Country:US
Practice Address - Phone:312-421-1016
Practice Address - Fax:312-421-1017
Is Sole Proprietor?:No
Enumeration Date:2017-01-26
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28203094A163W00000X
IL041.453404163W00000X
IL209.016052363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse