OrganizationActive
Gravnet L.L.C
NPI 1831965409 · Adolescent Medicine (Family Medicine) Physician · Champaign, IL
Provider details
- NPI number
- 1831965409
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jay Patel, Medical Director
Mailing address
2608 Bershire Dr
Champaign, IL 61821-5703
Registry dates
- Enumerated
- 2023-11-27
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.