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Organization

B. RONNI GREENBERG, PSY.D., PC

Active
Other names
Ronni Greenberg, Psy.,D.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONNIE GREENBERG PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(773) 405-6007
Entity
Organization

Contact information

Practice address
3748 N ASHLAND AVE, UNIT 1-N, CHICAGO, IL 60613-6098
(773) 405-6007
Mailing address
3748 N ASHLAND AVE, UNIT 1-N, CHICAGO, IL 60613-6098
(773) 405-6007

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005250
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207311
VALUE OPTIONS
IL
01
21623217
BLUE CROSS BLUE SHIELD
IL
01
7999116
AETNA
IL
Enumeration date
01/14/2007
Last updated
08/23/2022
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