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Individual
VICTORIA ANNE GREENFIELD
Active
Individual
VICTORIA ANNE GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
03612290
IL
208M00000X
Hospitalist Physician
Primary
036122990
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036122990
—
IL
01
—
206147
MEDICARE PTAN GROUP
IL
01
—
206147120
MEDICARE PTAN INDIVIDUAL
IL
01
—
206147120
MEDICARE PTAN INDIVIDUAL
—
01
—
CA4748
MEDICARE RAILROAD GROUP PTAN
IL
01
—
P01109529
MEDICARE RAILROAD
IL
Enumeration date
05/17/2007
Last updated
01/18/2018
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