Provider Demographics
NPI:1922198209
Name:ELIZABETH T. GRDINICH INC.
Entity Type:Organization
Organization Name:ELIZABETH T. GRDINICH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:TOBEY
Authorized Official - Last Name:GRDINICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-789-1382
Mailing Address - Street 1:2301 CLINE AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-2558
Mailing Address - Country:US
Mailing Address - Phone:219-789-1384
Mailing Address - Fax:
Practice Address - Street 1:2301 CLINE AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2558
Practice Address - Country:US
Practice Address - Phone:219-789-1384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Single Specialty