Vybert P Greene, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036-089662 Issued in IL

Practice address

2555 S King Drive
Chicago, IL 60616-2419

Phone

(312) 674-4000

Fax

(312) 674-4001

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1942347141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15774 S LA GRANGE RD # 397",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624766",
            "telephone_number": "708-873-1533",
            "fax_number": "708-873-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S KING DRIVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162419",
            "telephone_number": "312-674-4000",
            "fax_number": "312-674-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "VYBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-089662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089662",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minna Corwith Greene, MSW, LCSW
• Sarah Catherine Greene, MD
• Tess Greene, OTD
• Valencia Greene
• Vicki Greene, PSY.D.
• Atara Greenfield
• Brian Greenfield, DPT
• Devorah Greenfield, LCSW
• Elisha James Greenfield, DDS
• Franchon Greenfield

• Obstetrics & Gynecology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.