Greenbrook Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GREENBROOK DENTAL

Practice address

1290 Bamburg CT
Hanover Park, IL 60133-5257

Phone

(630) 830-4840

Fax

(630) 830-4891

NPI assigned

Jun 18, 2007

Last updated

Jan 22, 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

Najung Kim, DDSNPI 1114916210

Title

Secretary

Phone

(630) 830-4840

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Najung Kim, DDS

  • General Practice Dentistry
  • Hanover Park, IL
  • NPI 1114916210
  NPD (past) Authorized official
• Hojung Kim, D.M.D.

  • General Practice Dentistry
  • Hanover Park, IL
  • NPI 1770897431
  NPD (past)
• Yoonjung Kim, D.D.S.

  • Dentist
  • Hanover Park, IL
  • NPI 1407845985
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1720283047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 BAMBURG CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 BAMBURG CT",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335257",
            "telephone_number": "630-830-4840",
            "fax_number": "630-830-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "NAJUNG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "630-830-4840",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Elgin Family Care Center (Horizon Elementary)
• Greater Elgin Family Care Center
• Greater Elgin Family Care Center
• Greater Elgin Family Care Center
• Greater Family Health
• Greenbrook Pharmacy LLC (Greenbrook Pharmacy)
• Douglas Mitchel Griffin, R.PH.
• Genie Cynthia Guerra
• David M Gursky, PH D
• Elena D Hain, B.A.

• General Practice Dentistry in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• General Practice Dentistry in Illinois

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