Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Sandra Lukic Graba , MD

Pediatrics β€’ Crystal Lake, IL

Active NPI 1477717213 Individual Practitioner Female Practitioner
Practice location in NPPES

525 E Congress Pkwy
Crystal Lake, IL 600146245

Call 8154596780 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

525 E Congress Pkwy

Crystal Lake, IL 600146245

Telephone 8154596780
Fax 8154591648
Organization at the Same NPPES Address or Phone
Crystal Lake Immediate Care Physicians Ltd. Facility NPI 1538517198

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Crystal Lake and Illinois

12 active clinicians are listed under Pediatrics with a practice address in Crystal Lake, IL (3,178 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Crystal Lake

0% of these 12 clinicians have the CMS telehealth indicator.

16.7% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 036126943

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IL 125053988

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
036126943 (IL)
Other Identifier Bcbs Of Il
05632081
Other Identifier Tricare Standard
1477717213 (IL)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Dr. Moriah Bang , DO

Family Medicine

NPI 1750393310

Doctor of Osteopathic Medicine (D.O.)

Dr. Sandeep Chunduri , MD

Internal Medicine - Hematology & Oncology

NPI 1174740435

Doctor of Medicine (M.D.)

Taylor Johnson , FNP-BC

Nurse Practitioner - Family

NPI 1467122697

Family Nurse Practitioner (Board Certified)

NPI 1740417286

Doctor of Medicine (M.D.)

Carly Manley

Nurse Practitioner - Family

NPI 1669244489
NPI 1134121965

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 03, 2022

Registered at 525 E CONGRESS PKWY, CRYSTAL LAKE, IL 600146245 (Tel: 8154596780)

πŸ“
Updated Business Mailing Address January 03, 2022

Registered at 2215 SANDERS RD STE 105, NORTHBROOK, IL 600626194 (Tel: 2243306300)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2022

Pediatrics (license number reported to NPPES: IL 125053988)

βœ…
NPI Profile Active February 24, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 24, 2012

Registered at 600 S RANDALL RD, SUITE 220, ALGONQUIN, IL 601025935 (Tel: 8478549402)

πŸ“
Business Mailing Address (Initial Record) February 24, 2012

Registered at 600 S RANDALL RD, SUITE 220, ALGONQUIN, IL 601025935 (Tel: 8478549402)

πŸ‘€
Provider Name / Credentials (Initial Record) February 24, 2012

Recorded as SANDRA GRABA, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2012

Pediatrics (license number reported to NPPES: IL 036126943)

🟒
Initial NPI Registration & Enumeration July 10, 2008

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1477717213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2008
Last Update: January 03, 2022
Sole Proprietor: No

Mailing Address

2215 Sanders Rd Ste 105

Northbrook, IL 600626194

Phone: 2243306300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.