Lagretta Green
Nurse Practitioner - Community Health
200 E 115th St
Chicago
, Illinois 60628-5015
Lagretta Green
Nurse Practitioner - Community Health
200 E 115th St
Chicago
, Illinois 60628-5015
(312) 747-2851
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Lagretta Green
- 200 E 115th St
- Chicago, IL
- Zip : 60628-5015
- Fax : (312) 747-2851
- Phone : (312) 747-9505
Second Address
- Lagretta Green
- 200 E 115th St
- Chicago, IL
- Zip : 60628-5015
- Fax : (312) 747-2851
- Phone : (312) 747-2823
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 209-000642 | IL |
National Provider Identifier
| NPI | 1639382807 |
|---|---|
| Provider Name | Lagretta Green |
| First Address | Chicago, IL 60628-5015 |
| Second Address | Chicago, IL 60628-5015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2007 |
| Last Update Date | 24/06/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.