| Doctor Name: | MS. GRETA OBEREINER |
| NPI Number: | 1053599423 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209-004053 |
| Business Practice Address: | 1801 Windsor Rd Champaign, IL - 618226217 |
| Business Phone Number: | 2173668130 |
| Business Fax Number: | 2173666106 |
| Mailing Address: | 101 W University Ave, CHAMPAIGN |
| State: | IL |
| Postal Code: | 618203909 |
| Phone Number: | 2173668107 |
| Fax Number: | 2173666106 |
| NPI Enumeration Date: | 02/07/2008 |
| NPI Last Update Date: | 03/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 209-004053 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |