Individual
MICHAEL D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1133 W ARMITAGE AVE, CHICAGO, IL 60614-4103
(773) 549-4772
Mailing address
1340 W NEWPORT AVE, CHICAGO, IL 60657-1412
(773) 477-4432
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036089809
IL
Other
Enumeration date
07/12/2006
Last updated
02/18/2015
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