Babcock, Gregory A.

Babcock, Gregory A. is an individual health care provider with primary practice located at 611 W. Park St. Interventional Radiology, Urbana IL 61801-2500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Babcock, Gregory A. can be contacted via phone (217) 904-7000.

Contact Information

Primary practice address
611 W. Park St. Interventional Radiology Urbana IL 61801-2500
Phone: (217) 904-7000
Fax: (217) 904-7742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 47817 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036111381 Illinois
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 47817 Wisconsin
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 036111381 Illinois

Profile Details

NPI number 1093722738
LBN Legal business name Babcock, Gregory A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Aug 23rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093722738 NPPES
Illinois MEDICAID 036111381

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