Provider Demographics
NPI:1225292402
Name:GREELEY, SIRI ATMA W (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SIRI ATMA
Middle Name:W
Last Name:GREELEY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5839 S MARYLAND AVE
Mailing Address - Street 2:MC5053
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1463
Mailing Address - Country:US
Mailing Address - Phone:773-702-6432
Mailing Address - Fax:773-702-0443
Practice Address - Street 1:5839 S MARYLAND AVE
Practice Address - Street 2:MC5053
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1463
Practice Address - Country:US
Practice Address - Phone:773-702-6432
Practice Address - Fax:773-702-0443
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-1159282080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology