Green Bay Medical Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036098890 Issued in IL

Legal business name

GREEN BAY MEDICAL CENTER LLC

Doing business as

Ying G. Hensel, M.D.

Practice address

310 Happ Rd Ste 207
Northfield, IL 60093-3457

Phone

(847) 784-5200

Fax

(847) 784-5201

NPI assigned

Apr 14, 2008

Last updated

Mar 7, 2023By 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. Xiaoying Guo Hensel, M.D.NPI 1063411346

Title

Owner & Director

Phone

(847) 784-5200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ying G. Hensel, M.D. Doing business as

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.

• Xiaoying Guo Hensel, M.D.

  • Internal Medicine Physician
  • Wilmette, IL
  • NPI 1063411346
  NPD (past) Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689848491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HILL RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600933914",
            "telephone_number": "847-784-1587",
            "fax_number": "847-784-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HAPP RD STE 207",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933457",
            "telephone_number": "847-784-5200",
            "fax_number": "847-784-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN BAY MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HENSEL",
        "authorized_official_first_name": "XIAOYING",
        "authorized_official_middle_name": "GUO",
        "authorized_official_title_or_position": "OWNER & DIRECTOR",
        "authorized_official_telephone_number": "847-784-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "1627087",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098890",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ying G. Hensel, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prudence L Gourguechon, M.D.
• Matthew Robert Graczyk, MD
• Caralyn L. Graham, L.C.P.C.
• Erica Graham, MS/CCC-SLP
• Gina Forgianni Gray
• Emily Grenesko-Stevens, LMFT
• Guardian Healthcare and Hospice,LLC
• Guardian Home Health Care LLC
• Alethea Gustafson, LCSW
• Debara Gutierrez

• Internal Medicine Physician in Northfield, IL
• Providers in Northfield, 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 Mar 7, 2023; 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.