Individual
MS. SHARI GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.M.
Contact information
Practice address
4160 RFD # 83, #203, LONG GROVE, IL 60047-9583
(847) 641-4444
Mailing address
4160 RFD # 83, #203, LONG GROVE, IL 60047-9583
(847) 641-4444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C-116-98
WA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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