Organization
MICHAEL S GREENBAUM MD S C
Active
Organization
MICHAEL S GREENBAUM MD S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S GREENBAUM MD (PSYCHIATRIST)
(847) 680-2715
Entity
Organization
Contact information
Practice address
31480 N US HIGHWAY 45, LIBERTYVILLE, IL 60048-9444
(847) 680-2715
(847) 680-3832
Mailing address
31480 N US HIGHWAY 45, LIBERTYVILLE, IL 60048-9444
(847) 680-2715
(847) 680-3832
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598792970
INDIVD NPI #
IL
01
—
208723
MEDICARE GROUP ID
IL
Enumeration date
04/02/2007
Last updated
04/20/2008
Update your record
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