Individual
DAVID J GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5 DOCTORS LN, MACOMB, IL 61455-3369
(309) 836-3387
(309) 833-1023
Mailing address
5 DOCTORS LN, MACOMB, IL 61455-3369
(309) 836-3387
(309) 833-1023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036078513
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078513
—
IL
Enumeration date
08/31/2005
Last updated
08/02/2010
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