Green, James L

Green, James L is an individual health care provider with primary practice located at 2525 S Michigan Ave 8Th Floor Eye Center, Chicago IL 60616-2333. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Green, James L can be contacted via phone (312) 567-2795.

Contact Information

Primary practice address
2525 S Michigan Ave 8Th Floor Eye Center Chicago IL 60616-2333
Phone: (312) 567-2795
Fax: (312) 567-2783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 03656121 Illinois
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 03656121 Illinois

Profile Details

NPI number 1154322790
LBN Legal business name Green, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Aug 9th, 2017 - about 9 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 1154322790 NPPES
Illinois MEDICAID 036056121

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