Basic Information
| Provider Information | |||||||||
| NPI: | 1891212999 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GREENSPON | ||||||||
| FirstName: | NANCY | ||||||||
| MiddleName: | HUA | ||||||||
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| Credential: | MD | ||||||||
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| OtherLastName: | SU | ||||||||
| OtherFirstName: | NANCY | ||||||||
| OtherMiddleName: | HUA | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER | ||||||||
| Address2: | 240 E HURON STREET, SUITE 1-200 CHICAGO IL 60611 | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60611 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3125037975 | ||||||||
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| Practice Location | |||||||||
| Address1: | 251 E HURON ST | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606112908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3129262000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2017 | ||||||||
| LastUpdateDate: | 06/08/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207L00000X | 125.078431 | IL | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.