- Practice location
- 633 Emerson St, Evanston, IL 60208-1394
- Phone
- 847-491-8100
- Fax
- 847-491-5919
- Last updated
- September 12, 2024
Alysia L Green is a Family Medicine, Sports Medicine based in Evanston, IL. Alysia L Green practices in Evanston, IL and has the professional credentials of MD. The NPI Number for Alysia L Green is 1013124296 and holds a License No. 232853 (MA). The current practice location address for Alysia L Green is 633 Emerson St, Evanston, IL 60208-1394 and can be reached out via phone at 847-491-8100 and via fax at 847-491-5919.
Provider Profile Details
- NPI Number
- 1013124296
- Provider Name
- Alysia L Green
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 633 Emerson St, Evanston, IL 60208-1394
- Phone Number
- 847-491-8100
- Fax Number
- 847-491-5919
- Primary Taxonomy
- Family Medicine, Sports Medicine · 207QS0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 17, 2007
- Last Update Date
- September 12, 2024
- Certification Date
- September 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 633 Emerson St
Evanston, IL 60208-1394 - City
- Evanston
- State
- Illinois
- Zip
- 60208-1394
- Phone Number
- 847-491-8100
- Fax Number
- 847-491-5919
Provider Business Mailing Address Details
- Address
- 801 Albany St
Fl G
Boston, MA 02119-3791 - City
- Boston
- State
- MA
- Zip
- 02119-3791
- Phone Number
- 617-414-6034
License Information
- License Number (1)
- 232853
- License State (1)
- MA
- Taxonomy (1)
- Family Medicine, Sports Medicine · 207QS0010X
- License Number (2)
- 036171538
- License State (2)
- IL
- Taxonomy (2)
- Family Medicine, Sports Medicine · 207QS0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alysia L Green, MD?
The NPI number of Alysia L Green, MD is 1013124296. It was assigned on May 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Alysia L Green, MD?
Alysia L Green, MD is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in MA under license number 232853.
Where does Alysia L Green, MD practice?
The practice location is 633 Emerson St, Evanston, IL 60208-1394. The office can be reached at 847-491-8100 (phone) or 847-491-5919 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013124296 directly on the NPPES registry website.