Greenspan, Benny

Greenspan, Benny is an sole proprietor health care provider with primary practice located at 10256 Hawthorne Dr , Orland Park IL 60462-3026. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Greenspan, Benny can be contacted via phone (630) 418-7276.

Contact Information

Primary practice address
10256 Hawthorne Dr Orland Park IL 60462-3026
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004117 Illinois

Profile Details

NPI number 1710051099
LBN Legal business name Greenspan, Benny
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Apr 24th, 2015 - about 10 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 1710051099 NPPES
Illinois MEDICAID 016004117
Illinois Other 01636086

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