Individual
DR. DANIEL RIGHT GREENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2740 W FOSTER AVE, STE 301, CHICAGO, IL 60625
(773) 271-3139
(773) 293-8772
Mailing address
2740 W FOSTER AVE, LL7, CHICAGO, IL 60625
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036072134
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036072134
MEDICAID NUMBER FOR SCMG
IL
05
—
036072134
—
IL
01
—
406120
MEDICARE PTAN FOR SCMG
IL
01
—
F400195669
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
10/04/2005
Last updated
10/30/2020
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