Individual
JAMES L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 S MICHIGAN AVE, 8TH FLOOR EYE CENTER, CHICAGO, IL 60616-2333
(312) 567-2795
(312) 567-2783
Mailing address
PO BOX 166516, CHICAGO, IL 60616-6516
(312) 567-2795
(312) 567-2783
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
03656121
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
03656121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056121
—
IL
Enumeration date
08/04/2005
Last updated
08/09/2017
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