Greene Isabell Med Assoc Inc
LBN: Greene Isabell Med Assoc Inc
Greene Isabell Med Assoc Inc is an health care organization with primary practice located at 7906 S Crandon Ave Suite 1, Chicago IL 60617-1146. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Greene Isabell Med Assoc Inc can be contacted via phone (773) 734-1577, or through Greene, Andrew Brice via phone (773) 734-1577.
Contact Information
Primary practice address
7906 S Crandon Ave Suite 1
Chicago IL 60617-1146
Phone: (773) 734-1577
Fax: (773) 734-1077
Website:
Authorized official contact:
Name: Greene, Andrew Brice Doctor of Medicine (MD)
Phone: (773) 734-1577
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036057667 | Illinois |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036051858 | Illinois |
Profile Details
NPI number | 1912963505 |
---|---|
LBN Legal business name | Greene Isabell Med Assoc Inc |
DBA Doing business as | |
Authorized official | Greene, Andrew Brice Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 24th, 2006 |
Last updated | Jun 11th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912963505 | NPPES |
Illinois | Other | 209520 | MEDICARE GROUP PROVIDER |
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