SearchIllinois101YS0200X

Maurissa Green, MED, BA, PEL

NPI 1376214577 · on the registry since 2021 · sole proprietor

Practice

Address
900 Ridge Rd Ste 1s
Homewood, IL 60430
Phone
(708) 637-1672
Organisation at this address
Laketop Inc.
Laketop Inc.
Topview Corporation
Mwc Foundation Inc.
Ten Clinical Services, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-09-27

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