Sandra Lukic Graba in Crystal Lake - Pediatrics
Sandra Lukic Graba - NPI 1477717213
Sandra Lukic Graba is a Pediatrics in Crystal Lake, Illinois. Sandra Lukic Graba practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Sandra Lukic Graba is 1477717213. The last update date is 2022-01-03.
Sandra Lukic Graba's current location address is 525 E Congress Pkwy, Crystal Lake, Illinois. You can contact this provider via phone number 8154596780 and fax number 8154591648. The mailing address for Sandra Lukic Graba is 525 E Congress Pkwy, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Lukic Graba |
|---|---|
| Address | 525 E Congress Pkwy, Crystal Lake, Illinois |
| Phone Number | 8154596780 |
| Fax Number | 8154591648 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477717213 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2022-01-03 |
Provider Mailing Address Detail
| Address | 525 E Congress Pkwy |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600146245 |
| Phone Number | 8154596780 |
| Fax Number | 8154591648 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 125053988 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36126943 | IL | -- | |
| 5632081 | BCBS OF IL | ||
| 1477717213 | IL | TRICARE STANDARD |
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What is the unique 10-digit identification code issued to Sandra Lukic Graba by the Centers for Medicare & Medicaid Services?
The Sandra Lukic Graba has been assigned the NPI (National Provider Identifier) 1477717213 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Sandra Lukic Graba?
The Sandra Lukic Graba is physically situated at 525 E Congress Pkwy, in the city of Crystal Lake, state of IL, with the postal code 600146245.
What is Sandra Lukic Graba's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sandra Lukic Graba is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did the Sandra Lukic Graba receive its 1477717213 assignment from the Centers for Medicare & Medicaid Services?
The Sandra Lukic Graba was assigned its 1477717213 by the Centers for Medicare & Medicaid Services on 2008-07-10.
When was the information regarding Sandra Lukic Graba most recently updated?
The details pertaining to the Sandra Lukic Graba, including its address, specialty, and other relevant information, were last refreshed on 2022-01-03.
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