Monson, Greg

Monson, Greg is an individual health care provider with primary practice located at 850 43Rd Ave Ste 200 And 300, Moline IL 61265-8401. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Monson, Greg can be contacted via phone (309) 743-0300.

Contact Information

Primary practice address
850 43Rd Ave Ste 200 And 300 Moline IL 61265-8401
Fax: (309) 743-0318
Website:

Profile Details

NPI number 1134186711
LBN Legal business name Monson, Greg
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 12th, 2012 - about 12 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 1134186711 NPPES
Illinois Other 070-003539 ILLINOIS PT LICENSE NO.
Illinois MEDICAID 248566976001 ILLINOIS PT LICENSE NO.
Illinois Other 01127 ILLINOIS PT LICENSE NO.

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