Individual
GREGG L LAWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 MORGAN ST, CARLINVILLE, IL 62626-1430
(217) 854-4552
(217) 854-5204
Mailing address
1115 MORGAN ST, CARLINVILLE, IL 62626-1430
(217) 854-4552
(217) 854-5204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036063415
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063415
—
IL
Enumeration date
09/16/2006
Last updated
10/06/2009
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