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Individual

DR. RONNIE GREENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1300 W BELMONT AVE, SUITE 407, CHICAGO, IL 60657-3200
(773) 405-6007
Mailing address
1300 W BELMONT AVE, SUITE 407, CHICAGO, IL 60657-3200
(773) 405-6007

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
20041001A
IN
103TC0700X
Clinical Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207311
VALUE OPTIONS PROVIDER
IL
01
21623217
BCBS PROVIDER NUMBER
IL
01
7999116
AETNA PROVIDER NUMBER
IL
Enumeration date
11/03/2006
Last updated
07/08/2007
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