MEDICARE: DR. BETH GINSBURG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	036078077	IL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036078077	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	202963	OTHER	IL	MEDICARE UNSPECIFIED
4	202964	OTHER	IL	MEDICARE UNSPECIFIED

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31601838	OTHER	IL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932279031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BETH GINSBURG MD

Provider Business Mailing Address
First Line	:	7607 MADISON ST
Second Line	:
City	:	FOREST PARK
State	:	IL
Zip	:	60130-3513
Country	:	US
Telephone Number	:	708-450-4557
Fax Number	:	708-338-0200

Provider Business Practice Location Address
First Line	:	7607 MADISON ST
Second Line	:
City	:	FOREST PARK
State	:	IL
Zip	:	60130-3513
Country	:	US
Telephone Number	:	708-450-4557
Fax Number	:	708-338-0200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	01/19/2012

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Directions to “ DR. BETH GINSBURG MD” Practice Location

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