CAROLINE LUCILLE GREEN

CHICAGO, IL
NPI1033813373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.034269)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-29
Last Update Date2023-06-21
Business Address
Dr. CAROLINE LUCILLE GREEN DMD
811 W WELLINGTON AVE
CHICAGO, IL 60657-5123
Phone number: 773-871-1461
Mailing Address
Dr. CAROLINE LUCILLE GREEN DMD
811 W WELLINGTON AVE
CHICAGO, IL 60657-5123
Phone number: 773-871-1461