Green, Thomas E.

Green, Thomas E. is an individual health care provider with primary practice located at 20201 Crawford Avenue , Olympia Fields IL 60461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Green, Thomas E. can be contacted via phone (708) 747-4000.

Contact Information

Primary practice address
20201 Crawford Avenue Olympia Fields IL 60461
Phone: (708) 747-4000
Fax: (866) 520-0761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02002714A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036110102 Illinois

Profile Details

NPI number 1689668808
LBN Legal business name Green, Thomas E.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Apr 1st, 2009 - about 15 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 1689668808 NPPES
Illinois Other 90001358 BSBSIL
Illinois MEDICAID 200401690 BSBSIL

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