Individual
MARLENE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2720 W 15TH ST, 3RD FLOOR, CHICAGO, IL 60608-1610
(773) 257-6676
(773) 257-4785
Mailing address
2720 W 15TH ST, 3RD FLOOR, CHICAGO, IL 60608-1610
(773) 257-6676
(773) 257-4785
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-055836
IL
Other
Enumeration date
10/24/2006
Last updated
05/13/2012
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