Individual
DR. IRENE GRAZIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
3880 SALEM LAKE DR, STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Mailing address
3880 SALEM LAKE DR, STE F, LONG GROVE, IL 60047-5292
(847) 719-2220
(847) 719-2265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036131271
IL
207R00000X
Internal Medicine Physician
125060021
IL
208M00000X
Hospitalist Physician
0101276087
VA
208M00000X
Hospitalist Physician
036131271
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036131271
—
IL
Enumeration date
02/03/2011
Last updated
10/05/2023
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