Individual
DOUGLAS ROBERT GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1315 LINCOLN ST, EVANSTON, IL 60201-2334
(773) 370-0299
Mailing address
1315 LINCOLN ST, EVANSTON, IL 60201-2334
(847) 868-8123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.364931
IL
363LF0000X
Family Nurse Practitioner
Primary
209.013635
IL
Other
Enumeration date
12/17/2015
Last updated
09/20/2024
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