Sandra Lukic Graba, MD

Pediatrics Physician · Crystal Lake, IL

Individual Active NPI

NPI number 1477717213

Practice location

525 E Congress Pkwy
Crystal Lake, IL 60014-6245
Phone
(815) 459-6780
Fax
(815) 459-1648

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NPI record

NPI
1477717213
Entity type
Individual (Type 1)
Enumeration date
July 10, 2008
Last updated
January 3, 2022
Certified
January 3, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036126943 IL
Pediatrics Physician 208000000X 125053988 IL

Mailing address

2215 Sanders Rd Ste 105
Northbrook, IL 60062-6194
Phone
(224) 330-6300
Fax
(847) 854-9403

About Dr. Graba

Sandra Lukic Graba, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 525 E Congress Pkwy, Crystal Lake, IL 60014-6245. The NPI number 1477717213 was assigned on July 10, 2008 and the record was last updated on January 3, 2022.

Dr. Graba lists 2 licenses in the registry: #036126943 (IL) for Pediatrics Physician; #125053988 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sandra Lukic Graba, MD?

The NPI number is 1477717213.

What is the phone number of Dr. Graba?

The phone number listed for the practice location is (815) 459-6780.

Where is Dr. Graba located?

525 E Congress Pkwy, Crystal Lake, IL 60014-6245.

What is the taxonomy code for Dr. Graba?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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