Individual provider Active NPI

Hisham Greiss, MD, PHD

  • Medical Technologist
  • Downers Grove, IL
National Provider Identifier
1437413978
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
DI41357 Issued in FL
Practice address
8635 Lemont Rd
Downers Grove, IL 60516-4805
Phone
(630) 427-0300
Fax
(630) 427-0302
NPI assigned
Jun 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DI41357 FL
Medical Technologist 246QM0706X DI41357 FL Primary

Addresses

Primary practice location

8635 Lemont Rd
Downers Grove, IL 60516-4805

Mailing address

8635 Lemont Rd
Downers Grove, IL 60516-4805
Phone (630) 427-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DI41357FLMDMedical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1437413978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 LEMONT RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605164805",
            "telephone_number": "630-427-0300",
            "fax_number": "630-427-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 LEMONT RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605164805",
            "telephone_number": "630-427-0300",
            "fax_number": "630-427-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREISS",
        "first_name": "HISHAM",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "DI41357",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "FL",
            "license": "DI41357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.