Dacia Medical Professional Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036096835 Issued in IL

Legal business name

DACIA MEDICAL PROFESSIONAL CORPORATION

Practice address

917 S Oak Park Ave
Suite B
Oak Park, IL 60304-1950

Phone

(708) 358-1299

Fax

(708) 358-1418

NPI assigned

May 24, 2006

Last updated

Oct 11, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Catalina Anca Grija, M.D.NPI 1770793143

Title

Owner/President

Phone

(708) 358-1299

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catalina Anca Grija, M.D.

  • Internal Medicine Physician
  • Oak Park, IL
  • NPI 1770793143
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1154376234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 S OAK PARK AVE",
            "address_2": "SUITE B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041950",
            "telephone_number": "708-358-1299",
            "fax_number": "708-358-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 S OAK PARK AVE",
            "address_2": "SUITE B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041950",
            "telephone_number": "708-358-1299",
            "fax_number": "708-358-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DACIA MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "GRIJA",
        "authorized_official_first_name": "CATALINA",
        "authorized_official_middle_name": "ANCA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "708-358-1299",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036096835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.