Alysia L. Green, MD
Primary Care Sports Medicine · Evanston, IL
UnclaimedMDNPI 1013124296
- Primary taxonomy
- 207QS0010X
- Enumerated
- 2007-05-17
- Practice location
- Evanston, IL
- Last NPPES update
- 2024-09-12
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2029
- MA · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.