MEDICARE: DR. LIGIA ANA GRINDEANU M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	036131029	IL

General Provider Information

NPI Number	:	1134439854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIGIA ANA GRINDEANU M.D.

Provider Business Mailing Address
First Line	:	6745 W 63RD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-4003
Country	:	US
Telephone Number	:	773-229-2373
Fax Number	:	773-229-2376

Provider Business Practice Location Address
First Line	:	6745 W 63RD ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60638-4003
Country	:	US
Telephone Number	:	773-229-2373
Fax Number	:	773-229-2376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2010
Last Update Date	:	05/07/2025

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