GRAVNET L.L.C
NPI 1831965409
Family Medicine - Adolescent Medicine in Champaign, IL

Active since November 27, 2023
2608 BERSHIRE DR, CHAMPAIGN, IL 61821(630) 481-6399 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gravnet L.l.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAVNET L.L.C (NPI 1831965409) is a healthcare organization registered as an adolescent medicine in Champaign, Illinois and active in the NPI registry since November 2023. The organization lists Jay Patel, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1831965409
Entity TypeOrganization
Primary Taxonomy207QA0000X
Legal Business NameGRAVNET L.L.C
Location Address2608 BERSHIRE DRChampaign, IL 61821-5703
Mailing Address2608 Bershire DrChampaign, IL 61821-5703 · (630) 481-6399
Organization SubpartNo
Authorized OfficialJay PatelMedical Director · (630) 481-6399
Enumeration DateNovember 27, 2023
NPPES CertifiedNovember 26, 2023
NPI 1831965409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
2608 BERSHIRE DR, Champaign, IL 61821

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gravnet L.L.C's NPI number?

The NPI number for Gravnet L.L.C is 1831965409. It was assigned to this organization in the NPPES registry on November 27, 2023.

Where is Gravnet L.L.C located?

Gravnet L.L.C is located at 2608 Bershire Dr, Champaign, IL 61821. The listed phone number is (630) 481-6399.

What is Gravnet L.L.C's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

When was this NPI record last updated?

The NPPES record for Gravnet L.L.C was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.