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Individual

LEE GREEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
934 CENTER ST, ELGIN, IL 60120-2125
(847) 429-8998
Mailing address
34659 EAGLE WAY, CHICAGO, IL 60678-1346
(847) 676-0091
(847) 676-2374

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
IL

Other

Enumeration date
03/29/2006
Last updated
07/08/2007
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