Individual
DR. BENNY GREENSPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10256 HAWTHORNE DR, ORLAND PARK, IL 60462-3026
(630) 418-7276
Mailing address
10256 HAWTHORNE DR, ORLAND PARK, IL 60462-3026
(630) 418-7276
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004117
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004117
—
IL
01
—
01636086
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/20/2006
Last updated
04/24/2015
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