Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OTTAVIA KIMBERLY GREEN, MD
ActiveOTTAVIA KIMBERLY GREEN, MD is a Anesthesiology healthcare provider located in PARK RIDGE, Illinois. NPI 1336701861 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · PARK RIDGE, IL
Registration Details
- NPI Number
- 1336701861
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 4, 2019 (7.1027439032425 yrs)
- Last Updated
- Feb 5, 2025
- Licenses
-
2019022382 (MO)V0407 (TX)036-170213 (IL)
Practice Information
- Address
-
1775 DEMPSTER STPARK RIDGE, IL, 600681143Browse IL providers · Browse ZIP 60068
- Phone
- 8477232210
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Anesthesiology
Other Anesthesiology Providers in PARK RIDGE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD L. NOREN | M.D. | 1467410712 |
| CHRISTINE D PREKEZES | MD | 1134167935 |
| LINDA CASTANEDA | DO | 1033157839 |
| YULIYA RUKHLYADA | M.D. | 1508806449 |
| ERIC LEE KAPUSTKA | M.D | 1710928692 |
| CAROLINE TER RAHE | MD | 1063454304 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.