MS. Shari Green, C.O.M.

NPI #1740609007 in Long Grove, Illinois

Provider Information

NPI Number: 1740609007
Entity Type: Individual
Name: MS. Shari Green, C.O.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: C.O.M.
Enumeration Date: Apr 15, 2014
Last Updated: Apr 15, 2014

Practice Location

Address: 4160 RFD # 83
Address 2: #203
City: Long Grove
State: Illinois
ZIP Code: 60047-9583
Phone: (847) 641-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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