ANDREA MARIE GRANCHER PA-C NPI 1669754511

NPI Information

NPI: 1669754511
Provider Name: ANDREA MARIE GRANCHER, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
737 N MICHIGAN AVE STE 760
CHICAGO, IL
ZIP 60611
Phone: (312) 751-2112
Get Directions

Andrea Marie Grancher, PA-C is a medical physician assistant in Chicago, IL. Andrea Marie Grancher, PA-C NPI is 1669754511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

737 N MICHIGAN AVE STE 760
CHICAGO, IL
ZIP 60611-662
Phone: (312) 751-2112

The NPI 1669754511 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2011 and was last updated on 12/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	4968	ARIZONA	No
2	363AM0700X	Physician Assistant	Medical	085.005028	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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