Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Terrence Green Sr.

Individual provider Physical Therapy Assistant · NPI 1306219548

Mr. Terrence Green Sr. is a Physical Therapy Assistant in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
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Practice location Address checks out

415 Howard St
Evanston, IL 60202-4007
Phone: (773) 809-1342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.006665 (IL)

Record details

NPI number1306219548
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 10, 2015
Last updated in NPPESNovember 10, 2015

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