Jeremy Green
Jeremy Green is a Driver in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
6808 S Perry AveChicago, IL 60621-3758
Phone: (773) 617-3404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence G65043289292 (IL) |
|---|
Record details
| NPI number | 1558012047 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 16, 2022 |
| Last updated in NPPES | January 16, 2022 |
| Certification date | January 16, 2022 |
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