Greenberg, Edward
Greenberg, Edward is an individual health care provider with primary practice located at 1 Waukegan Road Ap32, Lake Bluff IL 60044-1900. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Greenberg, Edward can be contacted via phone (440) 941-2360.Contact Information
Primary practice address
1 Waukegan Road Ap32
Lake Bluff IL 60044-1900
Phone: (440) 941-2360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57-01-9506 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-12-6693 | Ohio |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 036-147257-11 | Illinois |
Profile Details
| NPI number | 1861770786 |
|---|---|
| LBN Legal business name | Greenberg, Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2011 |
| Last updated | Mar 17th, 2022 - about 4 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 | 1861770786 | NPPES |
| Ohio | MEDICAID | 0123975 |
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