Search › Illinois › 103K00000X
Latrease Green
NPI 1336445915 · on the registry since 2011
Practice
- Address
- 858 Burnham Ave
Calumet City, IL 60409 - Phone
- (708) 891-5429
- Organisation at this address
- Grand Prairie Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Female
- Record last updated
- 2011-01-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois