IndividualActive
Lagretta Green, NP
NPI 1639382807 · Community Health Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1639382807
- Entity type
- Individual
- Primary specialty
- Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 209-000642 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
200 E 115th St
Chicago, IL 60628-5015
Phone: (312) 747-2823
Fax: (312) 747-2851
Approximate (ZIP-level) locationGet directions
Mailing address
200 E 115th St
Chicago, IL 60628-5015
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2010-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.