Green, David
Green, David is an individual health care provider with primary practice located at 675 N Saint Clair St Galter 21-100, Chicago IL 60611-5975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Green, David can be contacted via phone (312) 695-0990.Contact Information
Primary practice address
675 N Saint Clair St Galter 21-100
Chicago IL 60611-5975
Phone: (312) 695-0990
Fax: (312) 695-1106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 036041627 | Illinois |
Profile Details
| NPI number | 1053340364 |
|---|---|
| LBN Legal business name | Green, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 17th, 2009 - about 17 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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