Provider Demographics
NPI:1295875896
Name:GREENE, MARIA TRIANTAFYLLOPOULOU (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:TRIANTAFYLLOPOULOU
Last Name:GREENE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2300 N CHILDRENS PLZ
Mailing Address - Street 2:#57
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3363
Mailing Address - Country:US
Mailing Address - Phone:773-975-8837
Mailing Address - Fax:773-880-4036
Practice Address - Street 1:2300 N CHILDRENS PLZ
Practice Address - Street 2:#57
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:773-975-8837
Practice Address - Fax:773-880-4036
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2008-11-03
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Provider Licenses
StateLicense IDTaxonomies
IL0361117622080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology