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VICTORIA ANNE GREENFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4700
(630) 933-4427

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
03612290
IL
208M00000X
Hospitalist Physician
Primary
036122990
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036122990
IL
01
206147
MEDICARE PTAN GROUP
IL
01
206147120
MEDICARE PTAN INDIVIDUAL
IL
01
206147120
MEDICARE PTAN INDIVIDUAL
01
CA4748
MEDICARE RAILROAD GROUP PTAN
IL
01
P01109529
MEDICARE RAILROAD
IL
Enumeration date
05/17/2007
Last updated
01/18/2018
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