Green, Jeremy

Green, Jeremy is an individual health care provider with primary practice located at 6808 S Perry Ave , Chicago IL 60621-3758. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Green, Jeremy can be contacted via phone (773) 617-3404.

Contact Information

Primary practice address
6808 S Perry Ave Chicago IL 60621-3758
Phone: (773) 617-3404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X G65043289292 Illinois

Profile Details

NPI number 1558012047
LBN Legal business name Green, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2022
Last updated Jan 16th, 2022 - about 4 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.

Request for update

Popular Providers