Individual
GREG A LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,RRT
Contact information
Practice address
265 SHARP RD, ANNA, IL 62906-4123
(618) 833-3878
Mailing address
265 SHARP RD, ANNA, IL 62906-4123
(618) 833-3878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
227900000X
Registered Respiratory Therapist
—
IL
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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