IndividualActive
David Greathouse, D.O.
NPI 1720071129 · Internal Medicine Physician · Macomb, IL
Provider details
- NPI number
- 1720071129
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036078513 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5 Doctors Ln
Macomb, IL 61455-3369
Phone: (309) 836-3387
Fax: (309) 833-1023
Approximate (ZIP-level) locationGet directions
Mailing address
5 Doctors Ln
Macomb, IL 61455-3369
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2010-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.