Individual
MRS. ELIZABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-1000
Mailing address
1200 S YORK ST, ELMHURST, IL 60126-5626
(331) 221-6128
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2093012724
IL
Other
Enumeration date
08/17/2015
Last updated
05/12/2017
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