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BRAD K GREENSPAN
NPI 1356915656
Clinic/Center in Highland Park, IL

Active since May 19, 2021
480 ELM PL STE 104, HIGHLAND PARK, IL 60035(847) 436-1300 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2021, May 19, 2021 (2 updates tracked since 2021).

About Brad K Greenspan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAD K GREENSPAN (NPI 1356915656) is a healthcare organization registered as a clinic/center in Highland Park, Illinois and active in the NPI registry since May 2021. The organization lists Shirley Roll, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1356915656
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBRAD K GREENSPAN
Location Address480 ELM PL STE 104Highland Park, IL 60035-2535
Mailing Address480 Elm Pl Ste 104Highland Park, IL 60035-2535 · (847) 436-1300
Phone(847) 436-1300
Organization SubpartNo
Authorized OfficialShirley RollEnrollment Manager · (317) 472-7396
Enumeration DateMay 19, 2021
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1356915656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
480 ELM PL STE 104, Highland Park, IL 60035
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brad K Greenspan's NPI number?

The NPI number for Brad K Greenspan is 1356915656. It was assigned to this organization in the NPPES registry on May 19, 2021.

Where is Brad K Greenspan located?

Brad K Greenspan is located at 480 Elm Pl Ste 104, Highland Park, IL 60035. The listed phone number is (847) 436-1300.

What is Brad K Greenspan's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Brad K Greenspan was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.