Individual provider · Type 1 NPI

Jennifer Leann Green, PA-C

Medical Physician Assistant · Chicago, IL

NPI number 1033344742 Active

Practice location

2045 W Grand Ave Ste B
Chicago, IL 60612-1577

Call (708) 630-1534 Map

Fax (888) 517-8619

Mailing address

3741 Will Scarlet Rd
Winston Salem, NC 27104-1648

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-01769 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1033344742

Jennifer Leann Green, PA-C's National Provider Identifier is 1033344742, issued on May 26, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Jan 6, 2026.