| Michael S Greenbaum Md S C | |
|
31480 N Us Highway 45 Libertyville IL 60048-9444 | |
| (847) 680-2715 | |
| (847) 680-3832 |
| Full Name | Michael S Greenbaum Md S C |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 31480 N Us Highway 45, Libertyville, Illinois |
| Authorized Official Name and Position | Michael S Greenbaum (PSYCHIATRIST) |
| Authorized Official Contact | 8476802715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S Greenbaum Md S C 31480 N Us Highway 45 Libertyville IL 60048-9444 Ph: (847) 680-2715 | Michael S Greenbaum Md S C 31480 N Us Highway 45 Libertyville IL 60048-9444 Ph: (847) 680-2715 |
| NPI Number | 1841311636 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 6002807864 |
|---|---|
| Medicare Enrollment ID | O20040520000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841311636 | NPI | - | NPPES |
| 1598792970 | Other | IL | INDIVD NPI # |
| 208723 | Other | IL | MEDICARE GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Illinois) | Primary |
| Provider Name | Michael S Greenbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598792970 PECOS PAC ID: 5092706861 Enrollment ID: I20040520000595 |
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