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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