Organization
AARON GREENSPAN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON GREENSPAN (MEDICAL DIRECTOR)
(847) 897-5995
Entity
Organization
Contact information
Practice address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(773) 525-6780
Mailing address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(773) 525-6780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036101234
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101234
—
IL
Enumeration date
04/04/2007
Last updated
12/02/2008
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