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NOEL GRANDAS M.D. NPI 1831265016


NPI Information

NPI: 1831265016
Provider Name: NOEL GRANDAS, M.D.
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5000 S 5TH AVE
HINES, IL
ZIP 60141
Phone: (708) 202-2282
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Noel Grandas, M.D. is a rehabilitation practitioner in Hines, IL. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Noel Grandas, M.D. NPI is 1831265016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5000 S 5TH AVE
HINES, IL
ZIP 60141-030
Phone: (708) 202-2282
Fax: (708) 202-2281

The NPI 1831265016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225400000XRehabilitation Practitioner036113697ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I37112MEDICARE UPINILLINOIS
2036113697MEDICAIDILLINOIS
3363236791OTHERILLINOISTAX ID #
4K19708MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
5K26582MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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