Individual
DR. GREGORY AARON WALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2501 COMPASS RD, SUITE 100, GLENVIEW, IL 60026-8000
(847) 901-5200
(847) 904-4907
Mailing address
2501 COMPASS RD, SUITE 100, GLENVIEW, IL 60026-8000
(847) 901-5200
(847) 904-4907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036107048
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912186024
GROUP NPI
IL
01
—
216024
GROUP PTAN
IL
01
—
26-1093600
GROUP FEIN
IL
Enumeration date
08/19/2006
Last updated
03/23/2015
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