MEDICARE: DR. SANTINA A GREIF PHARM.D., RPH.

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
1	183500000X	Pharmacist		IL

General Provider Information

NPI Number	:	1790904043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANTINA A GREIF PHARM.D., RPH.

Provider Business Mailing Address
First Line	:	820 HANSEN PL
Second Line	:
City	:	PARK RIDGE
State	:	IL
Zip	:	60068-3361
Country	:	US
Telephone Number	:	847-318-1849
Fax Number	:	847-318-7616

Provider Business Practice Location Address
First Line	:	4734 N CUMBERLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60656-4239
Country	:	US
Telephone Number	:	773-625-7569
Fax Number	:	773-625-4502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/08/2007

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