Individual
GREGORY GEORGE CARONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036097895
IL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
036-097895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097895
—
IL
01
—
04915144
BCBS OF ILLINOIS
IL
Enumeration date
11/02/2005
Last updated
12/21/2022
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