Alexander Green MD

NPI 1093896284 - Internal Medicine - 207R00000X

NPI Details
NPI 1093896284
Gender Male
Enumeration Date 10/17/2006
Last Updated 12/21/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2160 S 1ST AVE
BUILDING 110 ROOM 6286
MAYWOOD IL, 60153-3328, US
Phone (312) 451-6686
Fax
Business Location
635 JUNIPER RD
GLENVIEW IL, 60025-3409, US
Phone (312) 451-6686
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 36113332
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According to our database, Alexander Green MD NPI is 1093896284, taxonomy code is 207R00000X and license number is 36113332, license state is located at Illinois. Alexander Green MD physically located at 2160 S 1st Ave, Maywood IL, 60153-3328. NPI Number Alexander Green MD has the Individual type.

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1093896284 NPI number is provided on an as is basis without warranty of any kind. 1093896284 is maintained by the National Plan & Provider Enumeration System. The contents of Alexander Green MD are for informational purposes only.