Individual
DR. MARTIN J GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3000 N HALSTED ST, STE 611, CHICAGO, IL 60657-5196
(773) 296-3900
(773) 296-3901
Mailing address
3000 N HALSTED ST STE 611, CHICAGO, IL 60657-5196
(773) 296-3900
(773) 296-3901
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036055515
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055515
—
IL
Enumeration date
04/18/2007
Last updated
05/18/2018
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