Individual
DR. PAULA B GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 763-6747
Mailing address
6344 MAIN STREET, DOWNERS GROVE, IL 60516
(630) 969-8735
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-102063
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-102063-1
—
IL
Enumeration date
07/28/2005
Last updated
07/08/2007
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