Organization
GREEN BAY MEDICAL CENTER LLC
Active
Organization
GREEN BAY MEDICAL CENTER LLC
Active
Other names
Ying G. Hensel, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIAOYING GUO HENSEL M.D. (OWNER & DIRECTOR)
(847) 784-5200
Entity
Organization
Contact information
Practice address
310 HAPP RD STE 207, NORTHFIELD, IL 60093-3457
(847) 784-5200
(847) 784-5201
Mailing address
615 HILL RD, WINNETKA, IL 60093-3914
(847) 784-1587
(847) 784-1587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036098890
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098890
—
IL
01
—
1627087
BLUECROSS/BLUESHIELD
IL
Enumeration date
04/14/2008
Last updated
03/07/2023
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