Greenberg, Bruce

Greenberg, Bruce is an individual health care provider with primary practice located at 1415 S Arlington Heights Rd , Arlington Heights IL 60005-3765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Greenberg, Bruce can be contacted via phone (847) 439-1005.

Contact Information

Primary practice address
1415 S Arlington Heights Rd Arlington Heights IL 60005-3765
Fax: (847) 439-7555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036-072379 Illinois

Profile Details

NPI number 1104817279
LBN Legal business name Greenberg, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Feb 19th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104817279 NPPES
Illinois MEDICAID 036-072379

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