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Contact Information

THOMAS E GREEN, DO
20201 CRAWFORD AVENUE
OLYMPIA FIELDS, IL60461
 Phone: 708-747-4000
 Fax: 866-520-0761
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for THOMAS E GREEN · (Male)

NPI # 1689668808
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/02/2005
Last updated 04/01/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036110102
  • IN License # 02002714A
  • IN Medicaid 200401690
  • IL Other 90001358 BSBSIL
Hospital affiliation(s)
  • BROADLAWNS MEDICAL CENTER - (Acute Care)
    1801 HICKMAN ROAD
    DES MOINES, IA 50314
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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