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Individual

GRETA L ABEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1800 N MAIN ST STE 100, WHEATON, IL 60187-3112
(630) 653-4240
(630) 315-6557
Mailing address
28375 DAVIS PKWY, WARRENVILLE, IL 60555-3030
(630) 653-4240
(630) 225-4033

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
085-001708
IL
363A00000X
Physician Assistant
Primary
085001708
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
206147224
MEDICARE PTAN
IL
01
245560
MEDICARE
IL
Enumeration date
06/15/2010
Last updated
02/29/2024
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