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GREGORY GEORGE CARONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 VILLAGE GRN STE 120, LINCOLNSHIRE, IL 60069-3095
(847) 634-1766
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-3218
(847) 390-5900
(847) 634-2894

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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