Search › Illinois › 122300000X
John Green, D.D.S
NPI 1952425605 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4608 W 103rd St
Oak Lawn, IL 60453 - Phone
- (708) 424-9515
- Fax
- (630) 920-0213
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois