Organization
GREG D EWERT MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG EWERT (OWNER)
(312) 922-4734
Entity
Organization
Contact information
Practice address
200 S MICHIGAN AVE, SUITE 805, CHICAGO, IL 60604-2402
(312) 922-3815
Mailing address
200 S MICHIGAN AVE, SUITE 805, CHICAGO, IL 60604-2402
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
—
IL
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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