person
Dr. Caroline Lucille Green, DMD
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1033813373

Caroline Lucille Green is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Caroline Lucille Green practices in Chicago, IL and has the professional credentials of DMD. The NPI Number for Caroline Lucille Green is 1033813373 and holds a License No. 019.034269 (Illinois).

The current practice location address for Caroline Lucille Green is 811 W Wellington Ave, Chicago, IL and can be reached out via phone at 773-871-1461 and via fax at 773-871-6353.

Location: 811 W Wellington Ave, Chicago, IL, 60657-5123
person
Provider Profile Details
NPI Number
1033813373
Provider Name
Caroline Lucille Green
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
811 W Wellington Ave, Chicago, IL, 60657-5123
Phone Number
773-871-1461
Fax Number
773-871-6353
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
811 W Wellington Ave
City
State
Zip
60657-5123
Phone Number
773-871-1461
Fax Number
773-871-6353
person
Provider Business Mailing Address Details
Address
811 W Wellington Ave
City
State
Zip
60657-5123
Phone Number
773-871-1461
Fax Number
773-871-6353
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
019.034269 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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