Individual
DR. MARIUS DORIN GRADIANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
152 N ADDISON AVE, ELMHURST, IL 60126-2821
(630) 833-9621
Mailing address
152 N ADDISON AVE, ELMHURST, IL 60126-2821
(630) 833-9621
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036154553
IL
207W00000X
Ophthalmology Physician
5101020454
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.154553
ILLINOIS STATE LICENSE
IL
05
—
1144665878
—
MI
Enumeration date
05/08/2013
Last updated
05/18/2023
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