Healthcare Provider Details

I. General information

NPI: 1235185299
Provider Name (Legal Business Name): GREG D DENENBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 COMPASS RD STE 100
GLENVIEW IL
60026-8000
US

IV. Provider business mailing address

2501 COMPASS RD STE 100
GLENVIEW IL
60026-8000
US

V. Phone/Fax

Practice location:
  • Phone: 847-901-5200
  • Fax: 847-901-5225
Mailing address:
  • Phone: 847-901-5200
  • Fax: 847-901-5225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036-098295
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: