Individual
MARK HINDLEY GREENE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 WEST WALNUT, JACKSONVILLE, IL 62650
(217) 883-7302
(217) 479-5892
Mailing address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 883-7302
(217) 479-5892
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036107120
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107120
—
IL
Enumeration date
07/06/2006
Last updated
12/13/2012
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