Active NPI
Lynn M Grabher, MD
- Internal Medicine Physician
- Urbana, IL
National Provider Identifier
1871645622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036069093
- Practice address
- 1109 S Lincoln Ave
Urbana, IL 61801-4703 - Phone
- (217) 333-2711
- Fax
- (217) 244-6495
- NPI assigned
- Jan 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036069093 | IL | Primary |
Addresses
Primary practice location
1109 S Lincoln Ave
Urbana, IL 61801-4703
Mailing address
5308 Longfield Rd
Bloomington, IL 61705-9527
Phone (309) 452-9937
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL2613047 | Other | IL | MEDICARE INDIVIDUAL PTAN |
| IL2613 | Other | IL | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1871645622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 LONGFIELD RD",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617059527",
"telephone_number": "309-452-9937",
"fax_number": "217-244-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 S LINCOLN AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618014703",
"telephone_number": "217-333-2711",
"fax_number": "217-244-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABHER",
"first_name": "LYNN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036069093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "IL2613047",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "IL2613",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.