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Individual
DAVID GIANGRECO
Active
Individual
DAVID GIANGRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.056129
IL
207RR0500X
Rheumatology Physician
Primary
036129016
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400259766
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/17/2009
Last updated
01/22/2016
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