Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 125077404 | IL |
NPI | 1003493040 |
---|---|
Provider Name | Emma Walls Greever |
First Address | Chicago, IL 60611-3055 |
Second Address | Chicago, IL 60611-3055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2021 |
Last Update Date | 20/06/2021 |