Individual
DR. EDWARD GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WAUKEGAN ROAD, AP32, LAKE BLUFF, IL 60044-1900
(440) 941-2360
Mailing address
1 WAUKEGAN ROAD, AP32, LAKE BLUFF, IL 60044-1900
(440) 941-2360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-12-6693
OH
207R00000X
Internal Medicine Physician
57-01-9506
OH
207RH0003X
Hematology & Oncology Physician
Primary
036-147257-11
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123975
—
OH
Enumeration date
07/26/2011
Last updated
03/17/2022
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