person
Dr. Ross Wayne Green, DPM
Primary Podiatric Medicine Podiatrist in Chicago, Illinois
NPI 1205194156

Ross Wayne Green is a Primary Podiatric Medicine Podiatrist based in Chicago, IL and is specialized in Primary Podiatric Medicine. Ross Wayne Green practices in Chicago, IL and has the professional credentials of DPM. The NPI Number for Ross Wayne Green is 1205194156 and holds a License No. 016.005502 (Illinois).

The current practice location address for Ross Wayne Green is 3631 N Harlem Ave, Chicago, IL and can be reached out via phone at 773-725-2953.

Location: 3631 N Harlem Ave, Chicago, IL, 60634-2237
person
Provider Profile Details
NPI Number
1205194156
Provider Name
Ross Wayne Green
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3631 N Harlem Ave, Chicago, IL, 60634-2237
Phone Number
773-725-2953
Fax Number
Provider Enumeration Date
04/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3631 N Harlem Ave
City
State
Zip
60634-2237
Phone Number
773-725-2953
Fax Number
person
Provider Business Mailing Address Details
Address
3631 N Harlem Ave
City
State
Zip
60634-2237
Phone Number
773-725-2953
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
016.005502 (Illinois)
Definition
Definition to come...
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