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Jeremy Green

NPI 1558012047 · on the registry since 2022

Practice

Address
6808 S Perry Ave
Chicago, IL 60621
Phone
(773) 617-3404

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-01-16

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