Organization Active NPI

V Greene MD PC

  • Obstetrics Physician
  • Chicago, IL
National Provider Identifier
1245454222
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
036089662 Issued in IL
Legal business name
V GREENE MD PC
Practice address
1322 E 47TH St
Chicago, IL 60653-4508
Phone
(773) 924-1978
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Vybert P Greene, MD
Title
President
Phone
(312) 791-2812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X 036089662 IL Primary

Addresses

Primary practice location

1322 E 47TH St
Chicago, IL 60653-4508

Mailing address

80 Burr Ridge Pkwy
PMB 144
Burr Ridge, IL 60527-0832
Phone (708) 788-2038

Other identifiers 2

IdentifierTypeStateIssuer
036089662MedicaidIL
1942347141OtherILNPI

National Provider Directory

National Provider Directory

Locations

2555 S Ml King Dr
Chicago, IL 60616
Phone (312) 222-0030

1322 E 47th St
Chicago, IL 60653
Phone (773) 924-1978

15774 S La Grange Rd
#397
Orland Park, IL 60462

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1245454222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 BURR RIDGE PKWY",
            "address_2": "PMB 144",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270832",
            "telephone_number": "708-788-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534508",
            "telephone_number": "773-924-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V GREENE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "VYBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-791-2812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "036089662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089662",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942347141",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.