Galina Gribovich, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036105797 Issued in IL

Practice address

2740 W Foster Ave Ste 207
Chicago, IL 60625-3526

Phone

(773) 878-1515

Fax

(773) 878-2036

NPI assigned

Nov 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: ggribovich255572@direct.myadvocateaurora.org

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1386825537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253526",
            "telephone_number": "773-878-1515",
            "fax_number": "773-878-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253526",
            "telephone_number": "773-878-1515",
            "fax_number": "773-878-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIBOVICH",
        "first_name": "GALINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036105797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105797",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2740 W Foster Ave Ste 207",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggribovich255572@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2740 W Foster Ave Ste 207",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Francine Grey-Theriot
• Matthew Paul Greydanus
• Greyledge Orthobiologic Group LLC
• Paige Anne Greytok, LMFT, LCPC, CADC
• Greywood Health Center LLC
• Brian A Grice
• James Grider III, LPCC, CADCC
• Jill Grider, PT
• Kristen Grider, OT
• Andrew Griebel, DMD

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.

Verify at the official NPI Registry.