Individual
DR. IAN F GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019020093
MO
207R00000X
Internal Medicine Physician
MD471156
PA
207RR0500X
Rheumatology Physician
Primary
036163857
IL
207RR0500X
Rheumatology Physician
Primary
MT221320
PA
208M00000X
Hospitalist Physician
2019020093
MO
208M00000X
Hospitalist Physician
MD471156
PA
Other
Enumeration date
06/19/2016
Last updated
01/29/2026
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