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:
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154322790 | NPPES |
Illinois | MEDICAID | 036056121 |
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