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NPI Code Detail

MEDICARE: DR. CHARLES E. GREER D.N.

MEDICARE: DR. CHARLES E. GREER D.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist181-000201IL
2172P00000XNaprapath181-000201IL

General Provider Information

NPI Number : 1083730733
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES E. GREER D.N.
Provider Business Mailing Address
First Line : 1970 E 73RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60649-2902
Country : US
Telephone Number : 773-308-4412
Fax Number :
Provider Business Practice Location Address
First Line : 1970 E 73RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60649-2902
Country : US
Telephone Number : 773-308-4412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 12/05/2014

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Directions to “ DR. CHARLES E. GREER D.N.” Practice Location

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