Active NPI
V Greene MD PC
- Obstetrics Physician
- Chicago, IL
National Provider Identifier
1245454222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 036089662
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036089662 | Medicaid | IL | |
| 1942347141 | Other | IL | NPI |
National Provider Directory
National Provider DirectoryLocations
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.