Individual
CURTIS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 HEALTH CENTER DR STE 401, MATTOON, IL 61938-4648
(217) 258-4020
(217) 258-4023
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-095245
IL
2086S0129X
Vascular Surgery Physician
036-095245
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036-095245
IL
Other
Enumeration date
08/21/2006
Last updated
01/09/2025
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