Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER GRAGE
NPI 1972168169
Pediatrics - Pediatric Critical Care Medicine in Maywood, IL

Q: What is Jennifer Grage's NPI number?

The NPI number for Jennifer Grage is 1972168169. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Q: What is Jennifer Grage's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Grage was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 03, 2019

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 18, 2026, May 3, 2019 (2 updates tracked since 2019).

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About Jennifer Grage NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER GRAGE (NPI 1972168169) is an individual pediatric critical care medicine provider in Maywood, Illinois, licensed in Illinois (036164822) and active in the NPI registry since May 2019. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1972168169

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameJENNIFER GRAGE

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address1853 W Polk StChicago, IL 60612-4355 · (312) 996-2450

Phone(708) 216-9000

Sole ProprietorNo

Enumeration DateMay 3, 2019

Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1972168169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IL · 036164822

Definition

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 patient care among other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2160 S 1ST AVE, Maywood, IL 60153

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Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)