Individual
ANDREA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
(630) 312-5000
Mailing address
120 N OAK ST, HINSDALE, IL 60521-3829
(630) 856-9000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.166007
IL
Other
Enumeration date
04/03/2020
Last updated
10/18/2023
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