Organization
JAMES A. GRIECO D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ANTONIO GRIECO D.D.S. (OWNER)
(773) 445-9545
Entity
Organization
Contact information
Practice address
11051 S FAIRFIELD AVE, CHICAGO, IL 60655-1813
(773) 445-9545
(773) 445-9783
Mailing address
11051 S FAIRFIELD AVE, CHICAGO, IL 60655-1813
(773) 445-9545
(773) 445-9783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
IL
Enumeration date
01/10/2007
Last updated
05/21/2020
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