| Mark A. Greenberger, M.d., S.c. | |
|
480 Elm Pl Suite 203 Highland Park IL 60035-2538 | |
| (847) 433-0404 | |
| (847) 433-1389 |
| Full Name | Mark A. Greenberger, M.d., S.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 480 Elm Pl, Highland Park, Illinois |
| Authorized Official Name and Position | Mark A Greenberger (OWNER) |
| Authorized Official Contact | 8474330404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Greenberger, M.d., S.c. 480 Elm Pl Suite 203 Highland Park IL 60035-2538 Ph: (847) 433-0404 | Mark A. Greenberger, M.d., S.c. 480 Elm Pl Suite 203 Highland Park IL 60035-2538 Ph: (847) 433-0404 |
| NPI Number | 1437109196 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 08/15/2011 |
| Medicare PECOS PAC ID | 2062444607 |
|---|---|
| Medicare Enrollment ID | O20050914000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437109196 | NPI | - | NPPES |
| 4900615 | Other | BLUECROSS/BLUESHIELD GOUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042618739 (Illinois) | Primary |
| Provider Name | Mark A Greenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174555742 PECOS PAC ID: 7618900333 Enrollment ID: I20050914000140 |
| Provider Name | David A Smiley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316974538 PECOS PAC ID: 6103836622 Enrollment ID: I20060428000092 |
| Provider Name | Rosalyn Steckel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861698417 PECOS PAC ID: 4486720182 Enrollment ID: I20080904000626 |
| Provider Name | Anuj Lal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437328895 PECOS PAC ID: 4486848900 Enrollment ID: I20101028001173 |
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