Individual
MICHAEL CHRISTOPHER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3825 HIGHLAND AVE STE 210, DOWNERS GROVE, IL 60515-1561
(630) 435-6112
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006194
IL
Other
Enumeration date
06/22/2017
Last updated
07/18/2023
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