Individual
DR. GRAZIELLA I BISTRICEANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1925 HUNTLEY RD, WEST DUNDEE, IL 60118-9301
(815) 338-6600
(847) 428-7425
Mailing address
1925 HUNTLEY RD, WEST DUNDEE, IL 60118-9301
(815) 338-6600
(847) 428-7425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036112686
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361126861
—
IL
Enumeration date
02/15/2006
Last updated
07/19/2021
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