Individual
DR. JAMES LEITZE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1340 CHARLES ST, STE 400, ROCKFORD, IL 61104-2200
(779) 475-3711
(779) 429-0891
Mailing address
1340 CHARLES ST, STE 400, ROCKFORD, IL 61104-2200
(779) 475-3711
(779) 429-0891
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036040754
IL
Other
Enumeration date
08/14/2008
Last updated
03/30/2017
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