Active NPI
Decebal Sorin Griza, MD
- Student in an Organized Health Care Education/Training Program
- Glenview, IL
National Provider Identifier
1952567158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 125054613
- Practice address
- 101 Lincoln St
Glenview, IL 60025-4916 - Phone
- (847) 998-6365
- Fax
- (847) 723-5615
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 125054613 | IL | Primary |
Addresses
Primary practice location
101 Lincoln St
Glenview, IL 60025-4916
Mailing address
101 Lincoln St
Glenview, IL 60025-4916
Phone (847) 998-6365
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125054613 | IL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1952567158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LINCOLN ST",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600254916",
"telephone_number": "847-998-6365",
"fax_number": "847-723-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LINCOLN ST",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600254916",
"telephone_number": "847-998-6365",
"fax_number": "847-723-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIZA",
"first_name": "DECEBAL",
"middle_name": "SORIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125054613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.