# V GREENE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245454222
- **Authorized official:** DR. VYBERT P GREENE MD (PRESIDENT)
- **Authorized official phone:** (312) 791-2812

## Contact information

- **Practice address:** 1322 E 47TH ST, CHICAGO, IL 60653-4508
- **Practice address phone:** (773) 924-1978
- **Mailing address:** 80 BURR RIDGE PKWY, PMB 144, BURR RIDGE, IL 60527-0832
- **Mailing address phone:** (708) 788-2038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | 036089662 | IL | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 01/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036089662 | — | IL |
| 01 | — | 1942347141 | NPI | IL |