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Individual

DR. GREGORY BRIAN WINSTEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
1701 W MONTEREY AVE, CHICAGO, IL 60643-4257
(773) 233-5850
(773) 233-5853
Mailing address
9718 S HALSTED ST, CHICAGO, IL 60628-1007
(773) 233-5850
(773) 233-5853

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036115639
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036115639
STATE LICENSE
IL
Enumeration date
04/06/2007
Last updated
03/19/2013
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