James L Greco, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

036-056023 Issued in IL

Practice address

6723 Roosevelt Rd
Berwyn, IL 60402-1007

Phone

(708) 484-6680

Fax

(708) 484-6230

NPI assigned

Sep 14, 2005

Last updated

Feb 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1043205248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 ROOSEVELT RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021007",
            "telephone_number": "708-484-6680",
            "fax_number": "708-484-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6723 ROOSEVELT RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021007",
            "telephone_number": "708-484-6680",
            "fax_number": "708-484-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "IL",
            "license": "036-056023",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IL",
            "license": "036-056023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Gozali
• Michal Graczyk
• Julie Graf, APRN, PMHNP-BC
• Mark V Graves, O.D.
• Jalissa Gray
• Michael Paul Greenwald
• Jennifer Jourjy Greiss, MPT
• Alyson Elizabeth Griedl, MSW, MA
• Katherine Leslie Griem, MD
• Rikki Grieves, RN

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.