Active NPI
Marlene Green, M.D.
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1447333166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036-055836
- Practice address
- 2720 W 15TH St
3Rd Floor
Chicago, IL 60608-1610 - Phone
- (773) 257-6676
- Fax
- (773) 257-4785
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036-055836 | IL | Primary |
Addresses
Primary practice location
2720 W 15TH St
3Rd Floor
Chicago, IL 60608-1610
Mailing address
2720 W 15TH St
3Rd Floor
Chicago, IL 60608-1610
Phone (773) 257-6676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-055836 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Past | Accepting new patients | |
| Mount Sinai Community Foundation | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Sinai Medical Group
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1740328244
-
dba Sinai Medical Group
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336867200000",
"number": "1447333166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 W 15TH ST",
"address_2": "3RD FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081610",
"telephone_number": "773-257-6676",
"fax_number": "773-257-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 W 15TH ST",
"address_2": "3RD FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081610",
"telephone_number": "773-257-6676",
"fax_number": "773-257-4785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MARLENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2012-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036-055836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.