Physician Compare National (NPI:1568479939)

HEALTHCARE PROVIDER: CHRISTOPHER R GREEN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1568479939
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355242843
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040329000885
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GREEN
	Individual professional last name
Provider First Name	CHRISTOPHER
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ASSOCIATED PHYSICIANS GROUP LTD
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5698674802
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	18
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1181 S STATE ROUTE 157
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	EDWARDSVILLE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	620253897
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6182884100
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140002
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ALTON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140052
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OSF SAINT ANTHONY'S HEALTH CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260180
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CHRISTIAN HOSPITAL NORTHEAST
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140059
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	JERSEY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y