Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 036125100 | IL |
NPI | 1073501607 |
---|---|
Provider Name | Dr. Alfred O Greco |
First Address | Shiloh, IL 62269-2988 |
Second Address | Shiloh, IL 62269-2988 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2005 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201289527 | (05) | MO |
A13202 | (02) |