Green, Alexander

Green, Alexander is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave Building 110 Room 6286, Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Green, Alexander can be contacted via phone (312) 451-6686.

Contact Information

Primary practice address
2160 S 1St Ave Building 110 Room 6286 Maywood IL 60153-3328
Phone: (312) 451-6686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036113332 Illinois

Profile Details

NPI number 1093896284
LBN Legal business name Green, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093896284 NPPES
Illinois MEDICAID 036113332

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