Individual provider Active NPI

Jill Sylvia Greenberg, AUD

  • Audiologist
  • Hinsdale, IL
National Provider Identifier
1225752793
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147001918 Issued in IL
Practice address
11 Salt Creek LN Ste 100
Hinsdale, IL 60521-3032
Phone
(630) 789-3110
Fax
(630) 789-6219
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147001918 IL Primary

Addresses

Primary practice location

11 Salt Creek LN Ste 100
Hinsdale, IL 60521-3032

Mailing address

11 Salt Creek LN Ste 100
Hinsdale, IL 60521-3032
Phone (630) 789-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026001492 IL Practitioner - Qualified Audiologist 3678949013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

396 Remington Blvd
Bolingbrook, IL 60440-4311

630 E N Ave
Carol Stream, IL 60188-2127
Phone (630) 458-5300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147001918ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Adventist Health Partners,Inc CurrentSince Sep 12, 2022 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

11 Salt Creek Ln
Ste 101
Hinsdale, IL 60521
Phone (630) 789-3110

11 Salt Creek Ln
Ste 100
Hinsdale, IL 60521
Phone (630) 789-3110

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1225752793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN STE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213032",
            "telephone_number": "630-789-3110",
            "fax_number": "630-789-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SALT CREEK LN STE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213032",
            "telephone_number": "630-789-3110",
            "fax_number": "630-789-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JILL",
        "middle_name": "SYLVIA",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.