Lisa J Green is a General Practice in Harvey, Illinois. Lisa J Green practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lisa J Green is 1114973062. The last update date is 2022-06-15.
Lisa J Green's current location address is 31 W 155th St, Harvey, Illinois. You can contact this provider via phone number 7085965177 and fax number 7083393583. The mailing address for Lisa J Green is 31 W 155th St, Harvey, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa J Green |
|---|---|
| Address | 31 W 155th St, Harvey, Illinois |
| Phone Number | 7085965177 |
| Fax Number | 7083393583 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114973062 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2022-06-15 |
Provider Mailing Address Detail
| Address | 31 W 155th St |
|---|---|
| City | Harvey |
| State | Illinois (IL) |
| Post Code | 604263556 |
| Phone Number | 7085965177 |
| Fax Number | 7083393583 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 36086707 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36086707 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa J Green?
The Lisa J Green has been issued the NPI (National Provider Identifier) 1114973062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Lisa J Green is physically located?
The Lisa J Green is situated at the following address: 31 W 155Th St, Harvey, IL 604263556.
What is the Lisa J Green's specialty and taxonomy code?
The Lisa J Green's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did Lisa J Green receive its 1114973062 assignment from the Centers for Medicare & Medicaid Services?
The Lisa J Green was assigned its 1114973062 on 2006-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Lisa J Green most recently updated or revised?
The information pertaining to Lisa J Green, including its address, specialty, and other relevant details, was last updated or revised on 2022-06-15.
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