Active NPI
Irene Graziani, MD, PHD
- Internal Medicine Physician
- Long Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036131271
- Practice address
- 3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-5292 - Phone
- (847) 719-2220
- Fax
- (847) 719-2265
- NPI assigned
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036131271 | IL | |
| Internal Medicine Physician | 207R00000X | 036131271 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 125060021 | IL | |
| Hospitalist Physician | 208M00000X | 0101276087 | VA |
Addresses
Primary practice location
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-5292
Mailing address
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047-5292
Phone (847) 719-2220
Other practice location 1
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (161) 849-8840
Other practice location 2
500 J Clyde Morris Blvd
Newport News, VA 23601-1929
Phone (757) 594-3580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036131271 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125060021 | IL | MD | Internal Medicine Physician |
| 0101276087 | VA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MRH Corp. | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Best Practices Inpatient Care,LTD | Internal Medicine | Current | Accepting new patients |
| Belmond Community Hospital | Current | Accepting new patients | |
| MRH Corp. | Current | Accepting new patients | |
| Best Practices Inpatient Care, LTD. | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Past | Accepting new patients | |
| Mercy Hospital | Past | Accepting new patients | |
| MRH Corp. | Past | Accepting new patients | |
| KSB Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223
1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220
1300 Franklin Ave
Ste 380
Normal, IL 61761
Phone (309) 268-3589
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
492 Main St
Corinth, ME 04427
Phone (207) 285-3312
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Barrington, IL
- NPI 1619913522
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Family Medicine Physician
- Belmond, IA
- NPI 1821122623
-
- Critical Access Hospital
- Dover Foxcroft, ME
- NPI 1558319103
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
IL, Internal Medicine
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
-
- Critical Access Hospital
- Belmond, IA
- NPI 1932142726
-
- Critical Access Hospital
- Clarion, IA
- NPI 1396760153
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1417240946
-
- Medicare Defined Swing Bed Hospital Unit
- Dover Foxcroft, ME
- NPI 1548463623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1043516396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 SALEM LAKE DR",
"address_2": "STE F",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600475292",
"telephone_number": "847-719-2220",
"fax_number": "847-719-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 SALEM LAKE DR",
"address_2": "STE F",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600475292",
"telephone_number": "847-719-2220",
"fax_number": "847-719-2265"
}
],
"practiceLocations": [
{
"address_1": "400 Maple Summit Rd",
"address_purpose": "LOCATION",
"city": "Jerseyville",
"state": "IL",
"postal_code": "620522028",
"country_code": "US",
"telephone_number": "161-849-8840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 J Clyde Morris Blvd",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236011929",
"country_code": "US",
"telephone_number": "757-594-3580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAZIANI",
"first_name": "IRENE",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036131271",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036131271",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125060021",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101276087",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036131271",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.