Gregory Declark (NPI# 1699288837, PAC ID# 3577896984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1699288837 |
| PAC ID by PECOS | 3577896984 |
| Professional Enrollment ID | I20190617002304 |
| Full Name | Gregory Declark |
| Address |
477 S Spring Rd Elmhurst IL 60126-3857 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2016 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 477 S Spring Rd, Elmhurst, IL 60126-3857 |
| Street Address |
477 S SPRING RD |
| City | ELMHURST |
| State | IL |
| Zip | 60126-3857 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Russell | Chiropractic | 477 S Spring Rd, Elmhurst, IL 60126-3857 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Orourke | Internal Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Mike Zangan | Obstetrics/gynecology | 135 S Palmer Dr, Elmhurst, IL 60126 | |
| Barbara E Potaczek | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Lalitha Dileep-ansal | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Aysha Ahmed | Physician Assistant | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Asma M Ayub | Family Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Diane D Fabrizius | Internal Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Jeffrey J Kulik | Allergy/immunology | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Nabihah A Khan | Physician Assistant | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Wayne D Wong | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Find all physicians in zip 60126 | |||
| City | ELMHURST |
| Zip Code | 60126 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ELMHURST + CHIROPRACTIC |
Please comment or provide details below to improve the information on Gregory Declark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.