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
Phone: (630) 418-7276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1710051099 | NPPES |
| Illinois | MEDICAID | 016004117 | |
| Illinois | Other | 01636086 |
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