Individual
MRS. BRENDA R GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 HOLLISTER DR, SUITE 202, LIBERTYVILLE, IL 60048-5263
(847) 549-6473
(847) 549-1646
Mailing address
PO BOX 6329, VERNON HILLS, IL 60061-6329
(847) 549-6473
(847) 549-1646
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
IL
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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