Michael a. Greenberg, M.D., LTD.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MICHAEL A. GREENBERG, M.D., LTD.

Practice address

800 Biesterfield Rd
Ste 3002
Elk Grove Village, IL 60007-3364

Phone

(847) 364-4717

Fax

(847) 364-0191

NPI assigned

May 23, 2006

Last updated

Jan 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Greenberg, MDNPI 1891788105

Title

President

Phone

(847) 364-4171

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A Greenberg, M.D.

  • Dermatology Physician
  • Elk Grove Village, IL
  • NPI 1891788105
  Authorized official Same address or phone

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1265487052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "STE 3002",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073364",
            "telephone_number": "847-364-4717",
            "fax_number": "847-364-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "STE 3002",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073364",
            "telephone_number": "847-364-4717",
            "fax_number": "847-364-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. GREENBERG, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-364-4171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21607262",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3012",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Midwest Adult Care LLC
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• Dermatology Physician in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.