Greenspahn, Bruce R
Greenspahn, Bruce R is an individual health care provider with primary practice located at 1875 Dempster St Suite 555, Park Ridge IL 60068-1186. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Greenspahn, Bruce R can be contacted via phone (847) 698-5500.Contact Information
Primary practice address
1875 Dempster St Suite 555
Park Ridge IL 60068-1186
Phone: (847) 698-5500
Fax: (847) 689-0226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036053290 | Illinois |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036053290 | Illinois |
Profile Details
| NPI number | 1255355640 |
|---|---|
| LBN Legal business name | Greenspahn, Bruce R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Oct 10th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255355640 | NPPES |
| Illinois | MEDICAID | 036053290 |
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