Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | IL | |
Y | 208600000X | Surgeon | IL | |
N | 2086X0206X | Surgical Oncologist | IL | |
N | 208D00000X | General Practice Physician | IL |
NPI | 1427164722 |
---|---|
Provider Name | Dr. John A. Greager II |
First Address | Hinsdale, IL 60521-3804 |
Second Address | Lombard, IL 60148-4516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 13/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3633645526052101 | (05) | IL |
D13563 | (02) |