| Linda F Gruenberg Do Sc | |
|
307 N Michigan Ave Suite 922 Chicago IL 60601-5311 | |
| (312) 266-5553 | |
| Not Available |
| Full Name | Linda F Gruenberg Do Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 307 N Michigan Ave, Chicago, Illinois |
| Authorized Official Name and Position | Linda F Gruenberg (PRESIDENT) |
| Authorized Official Contact | 3122665553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda F Gruenberg Do Sc 307 N Michigan Ave Suite 922 Chicago IL 60601-5311 Ph: () - | Linda F Gruenberg Do Sc 307 N Michigan Ave Suite 922 Chicago IL 60601-5311 Ph: (312) 266-5553 |
| NPI Number | 1417345463 |
|---|---|
| Provider Enumeration Date | 12/29/2014 |
| Last Update Date | 12/29/2014 |
| Medicare PECOS PAC ID | 6305163619 |
|---|---|
| Medicare Enrollment ID | O20150326000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417345463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Linda F Gruenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831237502 PECOS PAC ID: 2668419508 Enrollment ID: I20050413000061 |
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