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1205194156
ROSS WAYNE GREEN
CHICAGO, IL
NPI
1205194156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: IL 016.005502)
Enumeration Date
2012-04-29
Last Update Date
2012-04-29
Business Address
Dr. ROSS WAYNE GREEN D.P.M.
3631 N HARLEM AVE
CHICAGO, IL 60634-2237
Phone number: 773-725-2953
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Mailing Address
Dr. ROSS WAYNE GREEN D.P.M.
3631 N HARLEM AVE
CHICAGO, IL 60634-2237
Phone number:
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