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General NPI Number Information
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NPI Number | 1588762298
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Entity Type | Individual
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Provider Name | CHRISTINE D GREENE
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 5841 S MARYLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60637-1443
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Country | US
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Telephone | 888-824-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N HIGHLAND AVE
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City | AURORA
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State | IL
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Zip | 60506-3814
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Country | US
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Telephone | 630-978-2532
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 277003294
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 277003294
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209005376
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License Number State | IL
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