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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367H00000X | Anesthesiologist Assistant | IL | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
1800 HOLLISTER DR SUITE 202 |
City | LIBERTYVILLE |
State | IL |
Zip Code | 60048-5263 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 60048 |
Taxonomy Code | 367H00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Anesthesiologist Assistant |
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. |
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 |
City | LIBERTYVILLE |
Zip Code | 60048 |
Please comment or provide details below to improve the information on MRS. BRENDA R GREENE.
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.