Provider Demographics
NPI:1134439854
Name:GRINDEANU, LIGIA ANA (MD)
Entity type:Individual
Prefix:DR
First Name:LIGIA
Middle Name:ANA
Last Name:GRINDEANU
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:LIGIA
Other - Middle Name:ANA
Other - Last Name:DRAGHICI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6745 W 63RD ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-4003
Mailing Address - Country:US
Mailing Address - Phone:773-229-2373
Mailing Address - Fax:773-229-2376
Practice Address - Street 1:6745 W 63RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-4003
Practice Address - Country:US
Practice Address - Phone:773-229-2373
Practice Address - Fax:773-229-2376
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036131029208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036131029Medicaid