GREG D DENENBERG (NPI# 1235185299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235185299 |
| Entity Type | Individual |
| Full Name | GREG D DENENBERG |
| Credential | MD |
| Practice Address |
4905 Old Orchard Ctr Lower Level Skokie IL 60077-1425 |
| Practice Telephone | 8476796707 |
| Practice Fax Number | 8476796721 |
| Mailing Telephone | 8476796707 |
| Mailing Fax Number | 8476796721 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036-098295 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 016-37105 | 01 |
| Street Address |
4905 OLD ORCHARD CTR LOWER LEVEL |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437140530 | Alan Eugene Lasser | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1425 | 2005-10-30 |
| 1023554276 | Idalia Karolina Walo | Counselor | 4905 Old Orchard Ctr, Suite428, Skokie, IL 60077-1458 | 2017-01-12 |
| 1639611056 | Anuj Lal Md Ltd | Internal Medicine | 4905 Old Orchard Ctr, Lower Level, Skokie, IL 60077-1458 | 2016-11-16 |
| 1326437039 | Lasser Dermatology, LLC | Dermatology | 4905 Old Orchard Ctr, Suite 318, Skokie, IL 60077-1458 | 2015-01-19 |
| 1679980924 | Toni Ellis Wolf, Dds, PC | Dentist | 4905 Old Orchard Ctr, Su 232, Skokie, IL 60077-1458 | 2014-07-18 |
| 1790127660 | Abc Home Health Care, Inc | Home Health | 4905 Old Orchard Ctr, Suite 736, Skokie, IL 60077-1458 | 2013-07-21 |
| 1780925305 | Gregory Kaczmarek, Md, LLC | Internal Medicine | 4905 Old Orchard Ctr, Lower Level, Skokie, IL 60077-1458 | 2013-03-06 |
| 1235401019 | Resurrection Services | General Practice | 4905 Old Orchard Ctr, Suite 634, Skokie, IL 60077-1458 | 2012-02-08 |
| 1316227655 | Sergio Rubinstein | Dentist | 4905 Old Orchard Ctr, Suite 420, Skokie, IL 60077-1458 | 2011-08-18 |
| 1427348903 | Alan J. Nidetz | Dentist | 4905 Old Orchard Ctr, Suite 420, Skokie, IL 60077-1458 | 2011-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245483197 | Comfort Health Network Sc | Internal Medicine | 8254 Kimball Avenue, Skokie, IL 60076-2976 | 2008-10-23 |
| 1245414432 | Curtis Howard Weiss | Internal Medicine | 9650 Gross Point Rd Ste 602, Skokie, IL 60076-1214 | 2007-12-24 |
| 1386845790 | Ysls Limited | Internal Medicine | 4860 West Oakton Street, Ysls Limited, Skokie, IL 60077 | 2007-05-31 |
| 1629190137 | Morton Miller, M.d. | Internal Medicine | 4350 Golf Rd, Skokie, IL 60076-1480 | 2007-04-04 |
| 1043351745 | Constance Anne Catellani | Internal Medicine | 7830 Kilbourn Ave, South Entrance, Skokie, IL 60076-3512 | 2007-02-08 |
| 1740343193 | Ellen Fertelmeister | Internal Medicine | Pms 8170 Mc Cormick Blvd, Suite 204, Skokie, IL 60076-2920 | 2006-12-18 |
| 1013007368 | Pinnacle Health Sc | Internal Medicine | 9955 Karlov Ave, Skokie, IL 60076-1117 | 2006-10-14 |
| 1972609253 | Yury L Shapiro | Internal Medicine | 4860 W Oakton, Oakton Health Center, Skokie, IL 60077-2953 | 2006-09-15 |
| 1083721716 | Advanced Medical Associates, Sc | Internal Medicine | 4711 W Golf Rd, #806, Skokie, IL 60076 | 2006-08-25 |
| 1295742856 | Lyugen Adult Clinic P.C. | Internal Medicine | 7013 Lorel Ave, Skokie, IL 60077-3489 | 2006-08-03 |
| Find all providers in SKOKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.