Provider Demographics
NPI:1700981107
Name:GRAF, CARL N III (MD)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:N
Last Name:GRAF
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:360 STATION DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-7978
Mailing Address - Country:US
Mailing Address - Phone:847-303-1200
Mailing Address - Fax:847-303-1210
Practice Address - Street 1:1990 E ALGONQUIN ROAD
Practice Address - Street 2:SUITE 160
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173
Practice Address - Country:US
Practice Address - Phone:847-303-1200
Practice Address - Fax:847-303-1210
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2015-03-02
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Provider Licenses
StateLicense IDTaxonomies
IL036108598207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I45821Medicare UPIN