Richard Victor Green Valid NPI

Individual provider · Pediatrics Physician · Maywood, IL

NPI

1710514138

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

036.167645 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2020-03-25

Last updated

2024-06-30