Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKSON GRAVES, MD
Active Sole ProprietorJACKSON GRAVES, MD is a Pediatrics healthcare provider located in PEORIA, Illinois. NPI 1740843127 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · PEORIA, IL
Registration Details
- NPI Number
- 1740843127
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2019 (7.2718177302049 yrs)
- Last Updated
- Feb 28, 2024
- Licenses
-
036.162138 (IL)036.162138 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 616370001Browse IL providers · Browse ZIP 61637
- Phone
- 3096552000
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. LORI ELIZABETH SIMENAUER | M.D. | 1780670794 |
| JALAYNE M LAPKE | MD | 1508837758 |
| DR. ALLEN LYNN NEESE | M.D., PH.D. | 1841261872 |
| DR. HEATHER LEE DOEBLER MCCARTHY | D.O. | 1306819289 |
| HEATHER MCLAUCHLAN | MD | 1356319479 |
| CHANNING PETRAK | MD | 1952370538 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.