GREENBAX HEALTH SOLUTIONS, LLC (NPI# 1538792221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538792221 |
Entity Type | Organization |
Organization Name | GREENBAX HEALTH SOLUTIONS, LLC |
Practice Address |
4922 W Chicago Ave Chicago IL 60651-3142 |
Practice Telephone | 3122857678 |
Mailing Telephone | 7734173784 |
Mailing Fax Number | 7734173784 |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-09-23 |
Authorized Official Name | DR. GREGORY C VACHON (CHIEF MEDICAL OFFICER) |
Authorized Official Telephone | 3122857678 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
4922 W CHICAGO AVE |
City | CHICAGO |
State | IL |
Zip Code | 60651-3142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215474978 | Kanesha Walker Amaro | Counselor | 5910 W Division, Chicago, IL 60651 | 2017-01-19 |
1639628415 | Fresenius Medical Care of Illinois, LLC | Clinic/Center | 3520 West Grand, Chicago, IL 60651 | 2016-09-22 |
1326596321 | Giselle Tisha Wallace | Nurse's Aide | 5809 W Rice, Chgo, IL 60651 | 2016-09-19 |
1811385214 | Jeanette Rodriguez | Social Worker | 1116 N Kedzie Av. Office#257, Association House of Chicago, Chicago, IL 60651 | 2015-01-07 |
1801147475 | Diane Dickens-rogers | Massage Therapist | 5700 W. Chicago Ave., Chicago, IL 60651 | 2012-09-24 |
1891045241 | Association House of Chicago | Residential Treatment Facility, Emotionally Disturbed Children | 1900 North Sawyer Avenue, Chicago, IL 60651 | 2012-09-13 |
1770860983 | Christine C Osborne | Pharmacist | 1541 N.central Ave, Chicago, IL 60651 | 2011-11-16 |
1629206388 | Habilitative Systems Inc | Case Management | 1049 N Drake Ave, Chicago, IL 60651 | 2009-07-01 |
1841428547 | Habilitative Systems, Inc. | Case Management | 4234 W Potomac Ave, Chicago, IL 60651 | 2009-07-01 |
1306074000 | Habilitative Systems, Inc | Case Management | 915 N Massasoit Ave, Chicago, IL 60651 | 2009-07-01 |
Find all providers in zip 60651 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
1407209208 | Mount Sinai Hospital Medical Center | Clinic/Center | 1501 S California Ave # L1026, Chicago, IL 60608-1732 | 2016-07-16 |
1487058731 | Encinas Medical Center | Clinic/Center | 4614 S Ashland Ave, Chicago, IL 60609-3251 | 2014-10-15 |
1366872061 | Lawndale Christian Health Center | Clinic/Center | 5122 S Archer Ave, Chicago, IL 60632-4508 | 2013-11-15 |
1083051643 | Oak Street Health Physicians Group, PC | Clinic/Center | 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 | 2013-05-22 |
1043564529 | Triple S Medical Care S.c. | Clinic/Center | 6455 S Pulaski Rd, Chicago, IL 60629 | 2012-11-05 |
1548541022 | Valentinalb,s.c. | Clinic/Center | 5108 N Lincoln Ave, Chicago, IL 60625-7295 | 2011-08-29 |
1174803878 | Clear Ridge Wellness Center Ltd. | Clinic/Center | 6745 W 63rd St, Chicago, IL 60638-4003 | 2011-08-25 |
Find all providers in CHICAGO |
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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.