NPI 1164463782

Brenda R Greene, CRNA

Practitioner Anesthesiologist Assistant Libertyville, IL

Practice location

Address: 1800 Hollister Dr Suite 202, Libertyville, IL 60048-5263
Phone: (847) 549-6473
Fax: (847) 549-1646
Mailing address: PO Box 6329, Vernon Hills, IL 60061-6329

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X

Other Anesthesiologist Assistant providers in Illinois →

Registry record

NPI: 1164463782
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.