Individual
SARAH A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
20201 CRAWFORD AVENUE, OLYMPIA FIELDS, IL 60461
(708) 747-4000
(866) 520-0761
Mailing address
4535 DRESSLER ROAD NW, CANTON, OH 44718
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02002724A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200497830
—
IN
01
—
90001358
BCBSIL
IL
Enumeration date
08/30/2005
Last updated
04/01/2009
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