Individual
DR. VYBERT P GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2555 S KING DRIVE, CHICAGO, IL 60616-2419
(312) 674-4000
(312) 674-4001
Mailing address
15774 S LA GRANGE RD # 397, ORLAND PARK, IL 60462-4766
(708) 873-1533
(708) 873-1534
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-089662
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089662
—
IL
Enumeration date
01/30/2007
Last updated
10/22/2009
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