Mark a. Greenberger, M.D., S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042618739 Issued in IL

Legal business name

MARK A. GREENBERGER, M.D., S.C.

Practice address

480 Elm PL
Suite 203
Highland Park, IL 60035-2538

Phone

(847) 433-0404

Fax

(847) 433-1389

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Greenberger, M.D.NPI 1174555742

Title

Owner

Phone

(847) 433-0404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maurice B. Pickard, M.D. and Mark A. Greenberger, M.D., S.C. Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A Greenberger, M.D.

  • Internal Medicine Physician
  • Highland Park, IL
  • NPI 1174555742
  Medicare reassignment Care Compare group NPD Authorized official
• David A. Smiley, M.D.

  • Internal Medicine Physician
  • Highland Park, IL
  • NPI 1316974538
  Medicare reassignment Care Compare group NPD
• Jeffrey Scott Garland, M.D.

  • Internal Medicine Physician
  • Highland Park, IL
  • NPI 1477506483
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1437109196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 ELM PL",
            "address_2": "SUITE 203",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352538",
            "telephone_number": "847-433-0404",
            "fax_number": "847-433-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ELM PL",
            "address_2": "SUITE 203",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352538",
            "telephone_number": "847-433-0404",
            "fax_number": "847-433-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. GREENBERGER, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "GREENBERGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-433-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "042618739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD GOUP",
            "identifier": "4900615",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maurice B. Pickard, M.D. and Mark A. Greenberger, M.D., S.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Aldona Marchese
• Anna Marcolin Houser, LCSW
• Margaret a. Fish, LTD.
• Judi Ann Marino, MS CCC-SLP
• Linda Marion, OTR/L
• Shale Marks, CADC
• Norman J Markus, MD
• Jennifer Martin, ED.S., NCSP
• Karen Anne Martin, L.C.S.W.
• Matthew Martinek, PA-C

• Internal Medicine Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.