Denenberg Medical SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036098295 Issued in IL

Legal business name

DENENBERG MEDICAL SC

Practice address

4905 Old Orchard Ctr
Lower Level
Skokie, IL 60077-1458

Phone

(847) 679-6707

Fax

(847) 679-6721

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Greg Denenberg, M.D.NPI 1235185299

Title

President

Phone

(847) 679-6707

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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

• Greg D Denenberg, MD

  • Internal Medicine Physician
  • Glenview, IL
  • NPI 1235185299

  IL, Internal Medicine

  Medicare reassignment NPD Authorized official
• Heidi R Mayer, PT

  • Physical Therapist
  • Skokie, IL
  • NPI 1679736730
  NPD (past)

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1659601862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR",
            "address_2": "LOWER LEVEL",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771458",
            "telephone_number": "847-679-6707",
            "fax_number": "847-679-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR",
            "address_2": "LOWER LEVEL",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771458",
            "telephone_number": "847-679-6707",
            "fax_number": "847-679-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENENBERG MEDICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "DENENBERG",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-679-6707",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01637204",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia D Demarakis, PHARMD
• Steven B Demerer, D.C
• Mariell Demertzis, DMD
• Florina Maria Demian, DMD
• Dempster Medical & Chiropractic Clinic SC
• Ami Denenberg, MSED, EDS
• Jeffrey Henry Denninger, PA-C
• Dental Art of Skokie, PLLC
• Dental Professionals of Old Orchard LTD
• Dental Sleep Center Richard a Craig DDS LTD

• All providers in Skokie, IL
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.