Organization
SPINE AND ORTHOPAEDIC SURGERY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN J GREENBERG MD (DOCTOR)
(773) 296-3900
Entity
Organization
Contact information
Practice address
3000 N HALSTED ST, SUITE 611, CHICAGO, IL 60657-5188
(773) 296-3900
(773) 296-3901
Mailing address
3000 N HALSTED ST, SUITE 611, CHICAGO, IL 60657-5188
(773) 296-3900
(773) 296-3900
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036055515
IL
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055515
—
IL
Enumeration date
05/18/2006
Last updated
05/06/2010
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