Provider Demographics
NPI:1114699667
Name:COMPREHENSIVE MEDICAL CARE ASSOCIATES LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE MEDICAL CARE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREAGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-261-0280
Mailing Address - Street 1:P.O. BOX 528
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60522-0528
Mailing Address - Country:US
Mailing Address - Phone:630-261-0280
Mailing Address - Fax:630-261-0304
Practice Address - Street 1:1263 S. HIGHLAND AVENUE
Practice Address - Street 2:SUITE 1E
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4572
Practice Address - Country:US
Practice Address - Phone:630-261-0280
Practice Address - Fax:630-261-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty