Individual
THOMAS E. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20201 CRAWFORD AVENUE, OLYMPIA FIELDS, IL 60461
(708) 747-4000
(866) 520-0761
Mailing address
4535 DRESSLER ROAD NW, CANTON, OH 44718
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02002714A
IN
207P00000X
Emergency Medicine Physician
036110102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200401690
—
IN
01
—
90001358
BSBSIL
IL
Enumeration date
09/02/2005
Last updated
04/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us