Individual
DAVID GIANGRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 RANDALL RD, SUITE 307B, GENEVA, IL 60134-4209
(630) 232-2391
(630) 232-2472
Mailing address
302 RANDALL RD, SUITE 307B, GENEVA, IL 60134-4209
(630) 232-2391
(630) 232-2472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.056129
IL
207RR0500X
Rheumatology Physician
Primary
036129016
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400259766
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
06/17/2009
Last updated
01/22/2016
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