Michael J Eisenberg, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036-052961 Issued in IL

Practice address

600 W Lake Cook Rd
Suite 120
Buffalo Grove, IL 60089-2089

Phone

(847) 808-8884

Fax

(847) 808-8890

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: michael.eisenberg.p1@direct.gefcc.nextgenshare.com

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1982677340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD",
            "address_2": "SUITE 120",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892089",
            "telephone_number": "847-808-8884",
            "fax_number": "847-808-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD",
            "address_2": "SUITE 120",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892089",
            "telephone_number": "847-808-8884",
            "fax_number": "847-808-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-052961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-052961",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Dykstra, PT
• Adrianna Sulimowicz Dzierzanowski, M.S. CCC-SLP
• Eduard Kalika DN LTD
• Roy James Eiermann, LCPC
• Lauren Eisenberg, DPT
• Shimaa Elgogary
• Elita Home Health Care Company
• Elliot M Razdolsky DDS Inc
• Anthony P Eltink, D.D.S., M.S.
• Rebekah E Enfinger, P.T., D.P.T.

• Obstetrics & Gynecology Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 Jun 24, 2010; 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.