Dr. Ross Wayne Green
Primary Podiatric Medicine
3631 N Harlem Ave
Chicago
, Illinois 60634-2237
Dr. Ross Wayne Green
Primary Podiatric Medicine
3631 N Harlem Ave
Chicago
, Illinois 60634-2237
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Ross Wayne Green
- 3631 N Harlem Ave
- Chicago, IL
- Zip : 60634-2237
- Phone :
Second Address
- Dr. Ross Wayne Green
- 3631 N Harlem Ave
- Chicago, IL
- Zip : 60634-2237
- Phone : (773) 725-2953
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 016.005502 | IL |
National Provider Identifier
| NPI | 1205194156 |
|---|---|
| Provider Name | Dr. Ross Wayne Green |
| First Address | Chicago, IL 60634-2237 |
| Second Address | Chicago, IL 60634-2237 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/04/2012 |
| Last Update Date | 29/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.