Individual
DR. SANDRA LUKIC GRABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E CONGRESS PKWY, CRYSTAL LAKE, IL 60014-6245
(815) 459-6780
(815) 459-1648
Mailing address
2215 SANDERS RD STE 105, NORTHBROOK, IL 60062-6194
(224) 330-6300
(847) 854-9403
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036126943
IL
208000000X
Pediatrics Physician
125053988
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036126943
—
IL
01
—
05632081
BCBS OF IL
—
01
—
1477717213
TRICARE STANDARD
IL
Enumeration date
07/10/2008
Last updated
01/03/2022
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