Robert a Greendale MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ROBERT A GREENDALE MD SC

Practice address

1787 Saint Johns Ave
Highland Park, IL 60035-3547

Phone

(847) 432-1280

Fax

(847) 432-1284

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Robert Allan Greendale, MD

Title

President

Phone

(847) 432-1280

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659353852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 SAINT JOHNS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353547",
            "telephone_number": "847-432-1280",
            "fax_number": "847-432-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 SAINT JOHNS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353547",
            "telephone_number": "847-432-1280",
            "fax_number": "847-432-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A GREENDALE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREENDALE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-432-1280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Eric Riesberg, D.D.S.
• Jennifer B Rifis-Meng, OTR/L
• Raima Rimkeviciene
• Digna Rivera, MSW
• Stuart Robb, DDS,MS
• Bruce Roberts, MD
• Jennifer Lindsay Robin, LCPC
• Cindy Robinson, LCPC
• Rochelle Rodriguez, OT/L
• Abby Nichole Rohlfing, MOT, OTR/L

• Psychiatry Physician in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.