Individual
RICHARD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST FL 16, CHICAGO, IL 60611-2987
(312) 695-5620
(312) 695-0042
Mailing address
676 N SAINT CLAIR ST STE 1440, CHICAGO, IL 60611-2927
(312) 695-5620
(312) 695-7095
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036075792
IL
207RI0008X
Hepatology Physician
036075792
IL
Other
Enumeration date
06/29/2006
Last updated
10/17/2019
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