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Individual

DR. BETH GINSBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7607 MADISON ST, FOREST PARK, IL 60130-3513
(708) 450-4557
(708) 338-0200
Mailing address
7607 MADISON ST, FOREST PARK, IL 60130-3513
(708) 450-4557
(708) 338-0200

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036078077
IL
207RP1001X
Pulmonary Disease Physician
036078077
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036078077
IL
01
202963
MEDICARE UNSPECIFIED
IL
01
202964
MEDICARE UNSPECIFIED
IL
01
31601838
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/08/2006
Last updated
01/19/2012
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