Gradianu, Marius Dorin
Gradianu, Marius Dorin is an sole proprietor health care provider with primary practice located at 152 N Addison Ave , Elmhurst IL 60126-2821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gradianu, Marius Dorin can be contacted via phone (630) 833-9621.Contact Information
Primary practice address
152 N Addison Ave
Elmhurst IL 60126-2821
Phone: (630) 833-9621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036154553 | Illinois |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 5101020454 | Michigan |
Profile Details
| NPI number | 1144665878 |
|---|---|
| LBN Legal business name | Gradianu, Marius Dorin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2013 |
| Last updated | May 18th, 2023 - about last year |
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 | 1144665878 | NPPES |
| Michigan | MEDICAID | 1144665878 | |
| Michigan | Other | 036.154553 |
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