IndividualActive
Alysia Green, MD
NPI 1013124296 · Sports Medicine (Family Medicine) Physician · Evanston, IL
Provider details
- NPI number
- 1013124296
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 232853 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
633 Emerson St
Evanston, IL 60208-1394
Phone: (847) 491-8100
Fax: (847) 491-5919
Approximate (ZIP-level) locationGet directions
Mailing address
801 Albany St
Boston, MA 02119-3791
Additional practice locations (1)
- 915 Commonwealth Ave RearBoston, MA 02215-1394Phone: (617) 358-3400Fax: (617) 358-3710
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.