MEDICARE: DR. GREG R PAPIEZ M.D.

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	207R00000X	Internal Medicine Physician	036-127464	IL

General Provider Information

NPI Number	:	1821254681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREG R PAPIEZ M.D.

Provider Business Mailing Address
First Line	:	1900 W POLK ST
Second Line	:	RM 1350
City	:	CHICAGO
State	:	IL
Zip	:	60612-3723
Country	:	US
Telephone Number	:	312-942-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 W HARRISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3800
Country	:	US
Telephone Number	:	312-942-5000
Fax Number	:

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

Provider Enumeration Date	:	07/31/2008
Last Update Date	:	04/28/2021

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