Individual
DR. JUDITH ANN GRAVDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-6020
(847) 318-2712
Mailing address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-6020
(847) 318-2712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036060860
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036060860
STATE LICENSE
IL
05
—
036060860
—
IL
Enumeration date
06/20/2006
Last updated
12/16/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us