GREENE ISABELL MED ASSOC INC (NPI# 1912963505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912963505 |
| Entity Type | Organization |
| Organization Name | GREENE ISABELL MED ASSOC INC |
| Practice Address |
7906 S Crandon Ave Suite 1 Chicago IL 60617-1146 |
| Practice Telephone | 7737341577 |
| Practice Fax Number | 7737341077 |
| Mailing Telephone | 7737341577 |
| Mailing Fax Number | 7737341077 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2009-06-11 |
| Authorized Official Name | ANDREW BRICE GREENE JR. (PRESIDENT) |
| Authorized Official Telephone | 7737341577 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036057667 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036051858 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP PROVIDER | 209520 | 01 |
| Street Address |
7906 S CRANDON AVE SUITE 1 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508850439 | Neerja Ahlowalia | Internal Medicine | 7906 S Crandon Ave, Suite 3, Chicago, IL 60617-1146 | 2005-09-07 |
| 1972922201 | Jo Ann Christmas | Nurse Practitioner | 7906 S Crandon Ave, Chicago, IL 60617-1146 | 2014-04-15 |
| 1114360013 | Steven Smith | Family Medicine | 7906 S Crandon Ave, Chicago, IL 60617-1146 | 2013-04-10 |
| 1033352067 | Angel Healthcare Services Sc | Internal Medicine | 7906 S Crandon Ave, 2, Chicago, IL 60617-1146 | 2009-04-07 |
| 1578738662 | Kuji Health Concepts | Health Maintenance Organization | 7906 S Crandon Ave, Suite 1, Chicago, IL 60617-1146 | 2008-04-29 |
| 1992970800 | Shweta Khankari | Internal Medicine | 7906 S Crandon Ave, Suite # 2, Chicago, IL 60617-1146 | 2008-04-23 |
| 1932370376 | A Plus Home Health Care Inc. | Home Health | 7906 S Crandon Ave, Chicago, IL 60617-1146 | 2008-03-13 |
| 1841485901 | Dominador L. Dayon Jr., M.d.s.c. | Family Medicine | 7906 S Crandon Ave, Suite # 4, Chicago, IL 60617-1146 | 2007-09-12 |
| 1265638944 | Kuji Health Concepts, Sc | Family Medicine | 7906 S Crandon Ave, Suite 1, Chicago, IL 60617-1146 | 2007-06-21 |
| 1235210097 | Kishore B Khankari | Internal Medicine | 7906 S Crandon Ave, Suite # 2, Chicago, IL 60617-1146 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
| 1154564607 | Kevin Patrick Haas | Internal Medicine | 840 S Wood St # Mc719, Chicago, IL 60612-4325 | 2009-04-14 |
| 1427194638 | Diane Tate | Internal Medicine | 6547 N Avondale Ave, Suite 001, Chicago, IL 60631-1573 | 2007-01-29 |
| 1760534192 | Anita A Shah | Internal Medicine | 2800 N Sheridan Rd Ste 301, Chicago, IL 60657-6158 | 2007-01-17 |
| 1891853016 | Romeo Lee Uy | Internal Medicine | 5140 North California Ave, Suite 620, Chicago, IL 60625 | 2006-12-04 |
| 1861560724 | Alvin Jerry Schonfeld | Internal Medicine | 438 W Saint James Pl, Chicago, IL 60614-2750 | 2006-11-30 |
| 1154405801 | Nicholas Gross | Internal Medicine | 1414 N Wells St, Apt. 407, Chicago, IL 60610-1374 | 2006-10-25 |
| 1285724765 | Howard Arya Jaffe | Internal Medicine | 820 South Damen Street, Pccsm, Dept Med (111), Jesse Brown Va Medical Center, Chicago, IL 60612 | 2006-10-13 |
| 1346340650 | Ricky Johnson | Internal Medicine | 2011 E 75th St, Chicago, IL 60649-3607 | 2006-09-25 |
| 1215041462 | Patricia S Mikes Md Sc | Internal Medicine | 201 E Huron St Ste 11-245, Chicago, IL 60611-2867 | 2006-08-17 |
| 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.