Dr Ross Wayne Green, DPM | |
3631 N Harlem Ave, Chicago, IL 60634-2237 | |
(773) 725-2953 | |
Not Available |
Full Name | Dr Ross Wayne Green |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 14 Years |
Location | 3631 N Harlem Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205194156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | 016.005502 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Claremore Indian Hospital | Claremore, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Claremore Indian Hospital | 9436069911 | 106 |
Provider Name | Claremore Indian Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073527842 PECOS PAC ID: 9436069911 Enrollment ID: O20031210001104 |
Mailing Address | Practice Location Address |
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Dr Ross Wayne Green, DPM 3631 N Harlem Ave, Chicago, IL 60634-2237 Ph: () - | Dr Ross Wayne Green, DPM 3631 N Harlem Ave, Chicago, IL 60634-2237 Ph: (773) 725-2953 |
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