MRS. BRENDA R GREENE


Address: 1800 Hollister Dr, Suite 202, Libertyville, IL 60048-5263
Phone: 8475496473

MRS. BRENDA R GREENE (NPI# 1164463782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164463782
Entity Type Individual
Full Name MRS. BRENDA R GREENE
Other Name BRENDA R ROTHSCHILD
Credential CRNA
Practice Address 1800 Hollister Dr
Suite 202
Libertyville
IL 60048-5263
Mailing Address Po Box 6329
Vernon Hills
IL 60061-6329
Practice Telephone 8475496473
Practice Fax Number 8475491646
Mailing Telephone 8475496473
Mailing Fax Number 8475491646
Enumeration Date 2006-06-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers BRENDA GREENE

NPI Name Taxonomy Address Enumeration
1972671675 Brenda Irene Greene Psychologist 234 River Dr, Massena, NY 13662-4106 2006-12-01
1326504820 Brenda Reed Greene Pharmacist 731 Duval Station Rd Ste 4, Jacksonville, FL 32218-0804 2019-02-20
1366761371 Brenda Marie Greene Nurse Practitioner 7310 Ritchie Hwy, Suite 406, Glen Burnie, MD 21061-3065 2010-06-01
1144360421 Brenda G. Greene Registered Nurse 1233 Southwest Avenue Extension, Johnson City, TN 37604-6519 2007-02-07
1295823482 Brenda Louise Greene Nurse Practitioner 4090 E Galbraith Rd, Cincinnati, OH 45236-2324 2006-10-11
1467557611 Brenda S Greene Anesthesiology 9500 Euclid Ave, Cleveland, OH 44195-0001 2006-09-13

Office Location

Street Address 1800 HOLLISTER DR
SUITE 202
City LIBERTYVILLE
State IL
Zip Code 60048-5263

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508862384 Ronald Lee Freeman Ophthalmology 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-3253 2005-06-25
1679957518 Dana Beth Cohen Social Worker 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 2015-07-09
1063833796 Diane M Bailey Yoder Counselor 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 2013-12-24
1053755538 Jenny M. Siddiqi Psychologist 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5263 2013-04-26
1649583501 Megan Claire Kawadza Occupational Therapist 1800 Hollister Dr, Ste 205, Libertyville, IL 60048-5263 2010-07-21
1417277930 Erika Lynch Physician Assistant 1800 Hollister Dr, Ste 102, Libertyville, IL 60048-5263 2010-06-07
1669625406 Marisa Maria Kunz Psychologist 1800 Hollister Dr, Libertyville, IL 60048-5263 2008-10-24
1720252323 Elizabeth Ann Cole Physical Therapist 1800 Hollister Dr, 205, Libertyville, IL 60048-5263 2008-04-15
1033381140 Gurnee Radiology Center, LLC Radiology 1800 Hollister Dr, Suite G-10, Libertyville, IL 60048-5263 2008-03-28
1477749430 Elizabeth K Baruffi Physician Assistant 1800 Hollister Dr, Suite 102, Libertyville, IL 60048-5263 2007-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184119950 Park Avenue Dental Professionals, PC Dentist 1001 W. Park Avenue, Libertyville, IL 60048 2018-06-25
1437643525 Shanna Coyle Registered Nurse 1128 Jaimee Ln, Libertyville, IL 60048 2018-06-21
1366943672 Jackie Rayyan Behavior Technician 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 2018-02-22
1851804850 Mary E. Linsey Counselor 34180 Highway 45, Libertyville, IL 60048 2017-11-13
1962929018 Affinity Integrated Healthcare Chiropractor 736 Florsheim Dr, St 12, Libertyville, IL 60048 2017-08-29
1164946471 Christianna Patterson Speech-Language Pathologist 1870 W Winchester Rd #203, Libertyville, IL 60048 2017-07-28
1962938407 Kyle Winiger Specialist/Technologist 4551 West Gavin Lane, Libertyville, IL 60048 2017-05-03
1396291530 Karyn Kolner Physical Therapist 860 W Winchester Rd, #108, Libertyville, IL 60048 2016-08-28
1477900785 Medlogic LLC Clinic/Center 114 West Rockland Road, Suite 201, Libertyville, IL 60048 2016-05-17
1477926343 Robert Mcnulty Student in an Organized Health Care Education/Training Program 1313 Crane Blvd, Libertyville, IL 60048 2015-11-02
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Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396286399 Andreja Lakic Anesthesiologist Assistant 653 Mulberry Dr, Prospect Heights, IL 60070-3427 2017-03-10
1144722802 Midwest Anesthesia and Pain Services LLC Anesthesiologist Assistant 10181 W Lincoln Hwy, Frankfort, IL 60423-1274 2018-03-08
1205149010 Anna M Varvel Anesthesiologist Assistant 800 E Carpenter St, Springfield, IL 62769-9999 2010-07-21

Competitor

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City LIBERTYVILLE
Zip Code 60048

Improve Information

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Dataset Information

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.

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