Individual
DR. MARVIN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2449 N LINCOLN AVE, CHICAGO, IL 60614-2414
(773) 327-2400
(773) 327-4759
Mailing address
220 SURREY LN, LAKE FOREST, IL 60045-3474
(847) 295-6096
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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