Provider Demographics
NPI:1881490100
Name:GRAFF, JOSHUA C
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:C
Last Name:GRAFF
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464-1298
Mailing Address - Country:US
Mailing Address - Phone:708-323-6149
Mailing Address - Fax:
Practice Address - Street 1:30 COMMONS DR
Practice Address - Street 2:
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-1298
Practice Address - Country:US
Practice Address - Phone:708-323-6149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health