Individual
DR. GREGORY DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
555 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3306
(847) 690-1776
(847) 690-1777
Mailing address
555 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3306
(847) 690-1776
(847) 690-1777
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036-123214
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123214
—
IL
Enumeration date
07/27/2006
Last updated
12/07/2021
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