Green, Paula B

Green, Paula B is an individual health care provider with primary practice located at 3 Erie Ct , Oak Park IL 60302-2519. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Green, Paula B can be contacted via phone (708) 763-6747.

Contact Information

Primary practice address
3 Erie Ct Oak Park IL 60302-2519
Phone: (708) 763-6747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-102063 Illinois

Profile Details

NPI number 1609876077
LBN Legal business name Green, Paula B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 18 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 1609876077 NPPES
Illinois MEDICAID 036-102063-1

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