Individual provider · Type 1 NPI

Jennifer Grage

Pediatric Critical Care Medicine Physician · Maywood, IL

NPI number 1972168169 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Mailing address

1853 W Polk St
Chicago, IL 60612-4355

Other practice locations

  • 1740 W Taylor St, Chicago, IL 60612-7232 · (866) 600-2273

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Critical Care Medicine Physician Primary 2080P0203X036164822 (IL)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1972168169

Jennifer Grage's National Provider Identifier is 1972168169, issued on May 3, 2019. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Maywood, IL. The record was last updated on Sep 18, 2026.