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:
Map and Directions
Authorized official contact:
Name: Greene, Andrew Brice Doctor of Medicine (MD)
Phone: (773) 734-1577

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912963505 NPPES
Illinois Other 209520 MEDICARE GROUP PROVIDER

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