Graba, Sandra Lukic
Graba, Sandra Lukic is an individual health care provider with primary practice located at 525 E Congress Pkwy , Crystal Lake IL 60014-6245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Graba, Sandra Lukic can be contacted via phone (815) 459-6780.Contact Information
Primary practice address
525 E Congress Pkwy
Crystal Lake IL 60014-6245
Phone: (815) 459-6780
Fax: (815) 459-1648
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125053988 | Illinois |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036126943 | Illinois |
Profile Details
NPI number | 1477717213 |
---|---|
LBN Legal business name | Graba, Sandra Lukic |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2008 |
Last updated | Jan 3rd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477717213 | NPPES |
Illinois | MEDICAID | 036126943 | |
Illinois | Other | 05632081 | |
Illinois | Other | 1477717213 |
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