Green, Lagretta

Green, Lagretta is an individual health care provider with primary practice located at 200 E 115Th St , Chicago IL 60628-5015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Green, Lagretta can be contacted via phone (312) 747-2823.

Contact Information

Primary practice address
200 E 115Th St Chicago IL 60628-5015
Phone: (312) 747-2823
Fax: (312) 747-2851
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 209-000642 Illinois

Profile Details

NPI number 1639382807
LBN Legal business name Green, Lagretta
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jun 24th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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