Organization
GREENE ISABELL MED ASSOC INC
Active
Organization
GREENE ISABELL MED ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW BRICE GREENE JR. M.D. (PRESIDENT)
(773) 734-1577
Entity
Organization
Contact information
Practice address
7906 S CRANDON AVE, SUITE 1, CHICAGO, IL 60617-1146
(773) 734-1577
(773) 734-1077
Mailing address
7906 S CRANDON AVE, SUITE 1, CHICAGO, IL 60617-1146
(773) 734-1577
(773) 734-1077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036057667
IL
207RP1001X
Pulmonary Disease Physician
Primary
036051858
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209520
MEDICARE GROUP PROVIDER
IL
Enumeration date
04/24/2006
Last updated
06/11/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up