Grieco, Gerardo A
Grieco, Gerardo A is an sole proprietor health care provider with primary practice located at 1300 Franklin Ave Suite 210, Normal IL 61761-3592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grieco, Gerardo A can be contacted via phone (309) 452-1193.Contact Information
Primary practice address
1300 Franklin Ave Suite 210
Normal IL 61761-3592
Phone: (309) 452-1193
Fax: (309) 452-1349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036-061804 | Illinois |
Profile Details
| NPI number | 1245242403 |
|---|---|
| LBN Legal business name | Grieco, Gerardo A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Mar 29th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245242403 | NPPES |
| Illinois | MEDICAID | 036-061804 |
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