Individual
MR. GREGORY G MARKARIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
33 W DELAWARE PL, CHICAGO, IL 60610
(312) 255-7540
(312) 255-1276
Mailing address
33 W DELAWARE PL, CHICAGO, IL 60610
(312) 255-7540
(312) 255-1276
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036091945
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209734
MEDICARE PTAN
IL
Enumeration date
11/14/2006
Last updated
01/18/2024
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