Organization
DACIA MEDICAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATALINA ANCA GRIJA M.D. (OWNER/PRESIDENT)
(708) 358-1299
Entity
Organization
Contact information
Practice address
917 S OAK PARK AVE, SUITE B, OAK PARK, IL 60304-1950
(708) 358-1299
(708) 358-1418
Mailing address
917 S OAK PARK AVE, SUITE B, OAK PARK, IL 60304-1950
(708) 358-1299
(708) 358-1418
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036096835
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096835
—
IL
Enumeration date
05/24/2006
Last updated
10/11/2011
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