Organization
DENENBERG MEDICAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG DENENBERG M.D. (PRESIDENT)
(847) 679-6707
Entity
Organization
Contact information
Practice address
4905 OLD ORCHARD CTR, LOWER LEVEL, SKOKIE, IL 60077-1458
(847) 679-6707
(847) 679-6721
Mailing address
4905 OLD ORCHARD CTR, LOWER LEVEL, SKOKIE, IL 60077-1458
(847) 679-6707
(847) 679-6721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036098295
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01637204
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/11/2010
Last updated
01/11/2010
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