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Organization
V GREENE MD PC
Active
Organization
V GREENE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VYBERT P GREENE MD (PRESIDENT)
(312) 791-2812
Entity
Organization
Contact information
Practice address
1322 E 47TH ST, CHICAGO, IL 60653-4508
(773) 924-1978
Mailing address
80 BURR RIDGE PKWY, PMB 144, BURR RIDGE, IL 60527-0832
(708) 788-2038
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
036089662
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089662
—
IL
01
—
1942347141
NPI
IL
Enumeration date
04/12/2007
Last updated
01/20/2009
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