Individual
DR. MICHAEL A GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 BIESTERFIELD RD, STE 3002, ELK GROVE VILLAGE, IL 60007-3364
(847) 364-4717
(847) 364-0191
Mailing address
800 BIESTERFIELD RD, STE 3002, ELK GROVE VILLAGE, IL 60007-3364
(847) 364-4717
(847) 364-0191
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036-051235
IL
207NS0135X
Procedural Dermatology Physician
036-051235
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21607262
BLUE CROSS BLUE SHIELD
IL
01
—
791073085
RAILROAD MEDICARE
IL
Enumeration date
08/23/2005
Last updated
09/12/2012
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