| Dr Kenneth O Green, MD, | |
|
111 W Lincoln St, Belleville, IL 62220-2019 | |
| (618) 234-1774 | |
| (618) 234-7979 |
| Full Name | Dr Kenneth O Green |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 111 W Lincoln St, Belleville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780680900 | NPI | - | NPPES |
| 1376586685 | Other | IL | NPI GROUP |
| 036037266 | Medicaid | IL | |
| 211586 | Other | IL | MEDICARE GROUP |
| CH6508 | Other | IL | MEDICARE RAILROAD GROUP |
| P00216102 | Other | IL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 036037266 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth O Green, MD, 111 W Lincoln St, Belleville, IL 62220-2019 Ph: (618) 234-1774 | Dr Kenneth O Green, MD, 111 W Lincoln St, Belleville, IL 62220-2019 Ph: (618) 234-1774 |
Paul Stanley Szewczyk, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4900 W Main St, Belleville, IL 62226 Phone: 618-235-2400 Fax: 618-235-0900 | |
Dr. Donald Richard Unwin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Lincoln St, Belleville, IL 62220 Phone: 618-234-1774 Fax: 618-234-7979 | |
Dr. Eric S Mann, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr Ste 350, Belleville, IL 62226 Phone: 618-632-8100 Fax: 618-632-8101 |