GRAVNET L.L.C – NPI #1831965409
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Health Care Provider Taxonomy Code for Family Medicine

GRAVNET L.L.C is a provider located in CHAMPAIGN, IL. NPPES has assigned the NPI number 1831965409 to GRAVNET L.L.C on November 27, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAVNET L.L.C below.

NPI Profile for
GRAVNET L.L.C

NPI Number
1831965409
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRAVNET L.L.C
Primary location
2608 BERSHIRE DR
CHAMPAIGN, IL 61821-5703
Phone: (630) 481-6399 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAY PATEL
MEDICAL DIRECTOR
Phone: (630) 481-6399
Updated
Certification Date
Nov 26, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)
207QA0505X
- Family Medicine / Adult Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.