Provider Demographics
NPI:1770734774
Name:GRIGALUNAS, JAMES RICHARD (CO)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:RICHARD
Last Name:GRIGALUNAS
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Gender:M
Credentials:CO
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Mailing Address - Street 1:5000 SOUTH 5TH AVE
Mailing Address - Street 2:ORTHOTIC LAB/ 121 HINES V.A. HOSPITAL
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60141
Mailing Address - Country:US
Mailing Address - Phone:708-202-8387
Mailing Address - Fax:708-202-2006
Practice Address - Street 1:5000 SOUTH 5TH AVE
Practice Address - Street 2:ORTHOTIC LAB/ 121
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-8387
Practice Address - Fax:708-202-2006
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist