# DR. STEPHEN JOHN GREENE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003170861
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 125061364 | IL | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | 2017-01297 | NC | Yes |
| 207RC0000X | Cardiovascular Disease Physician | 2017-01297 | NC | — |

## Other

- **Enumeration date:** 06/26/2012
- **Last updated:** 03/24/2022