MARK GREENWALD (NPI# 1720144975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720144975 |
| Entity Type | Individual |
| Full Name | MARK GREENWALD |
| Credential | MD |
| Practice Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Mailing Address |
5841 S Maryland Ave # Mc1099 Chicago IL 60637-1447 |
| Practice Telephone | 7738344064 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697669 | Mark J Greenwald | Student in an Organized Health Care Education/Training Program | 13065 E 17th Ave, Aurora, CO 80045-2532 | 2020-04-09 |
| 1659929503 | Mark Greenwald | Pharmacist | 805 Havendale Blvd Nw, Winter Haven, FL 33881-1311 | 2019-09-03 |
| Street Address |
180 HARVESTER DR STE 110 |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-6686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568487346 | Rajlakshmi Krishnamurthy | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-07-13 |
| 1679068555 | Sanjiv Kumar Hyoju | Surgery | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-4503 | 2018-06-24 |
| 1386030245 | Rachel Strykowski | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2015-04-07 |
| 1225464290 | Iazsmin Bauer Ventura | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, Burr Ridge, IL 60527-6686 | 2013-09-22 |
| 1932442456 | Elizabeth Quinn Starker | Anesthesiology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-4503 | 2013-04-03 |
| 1164776639 | Anna Biernacka | Pathology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2012-11-05 |
| 1639467087 | Bryan Alan Campbell | Hospitalist | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2011-07-19 |
| 1578852497 | Jonathan Lio | Internal Medicine | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2011-03-31 |
| 1225330061 | Shirley Stephenson | Nurse Practitioner | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2010-11-30 |
| 1689829285 | Lazaro Nelson Sanchez-pinto | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2008-11-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114018652 | C Ronald Lindberg Md Sc | Ophthalmology | 6463 Garfield Ridge Ct, Burr Ridge, IL 60527-5285 | 2006-09-28 |
| 1639235880 | Seenu Hariprasad | Ophthalmology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-29 |
| 1548326796 | Susan M Ksiazek | Ophthalmology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-29 |
| 1457417602 | Ana Loduca | Ophthalmology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-29 |
| 1366508517 | William F Mieler | Ophthalmology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433473 | Chicagoland Eye Consultants, Sc | Ophthalmology | 477 E Butterfield Rd Ste 101, Lombard, IL 60148-4880 | 2020-09-30 |
| 1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
| 1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
| 1932730256 | Cereesa E. Longest Md Sc | Ophthalmology | 225 Oak Knoll Rd, Barrington, IL 60010-2615 | 2020-01-27 |
| 1497314181 | Ophthalmology Surgery Center of Illinois, LLC | Ophthalmology | 1300 N Arlington Heights Rd Ste 150, Itasca, IL 60143-3128 | 2019-06-06 |
| 1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
| 1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
| 1679039457 | Laser and Cataract Institute, LLC | Ophthalmology | 22200 Wolf Rd, Frankfort, IL 60423-7721 | 2019-02-15 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
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| City | BURR RIDGE |
| Zip Code | 60527 |
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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.