Individual
MARY T GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2419 ADAMSWAY DR, AURORA, IL 60502-9076
(630) 566-9337
Mailing address
2419 ADAMSWAY DR, AURORA, IL 60502-9076
(630) 566-9337
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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