LAGRETTA GREEN NP
NPI 1639382807
Nurse Practitioner - Community Health in Chicago, IL

Active since May 07, 2007
200 E 115TH ST, CHICAGO, IL 60628(312) 747-2823(312) 747-2851 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lagretta Green Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAGRETTA GREEN NP (NPI 1639382807) is an individual community health provider in Chicago, Illinois, licensed in Illinois (209-000642) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1639382807
Entity TypeIndividualFemale
Primary Taxonomy363LC1500X
Provider Legal NameLAGRETTA GREENCredential: NP
Location Address200 E 115TH STChicago, IL 60628-5015
Mailing Address200 E 115th StChicago, IL 60628-5015 · (312) 747-9505 · Fax (312) 747-2851
Fax(312) 747-2851
Sole ProprietorNo
Enumeration DateMay 7, 2007
Last NPPES UpdateJune 24, 2010
NPI 1639382807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
License Licensed in IL · 209-000642
200 E 115TH ST, Chicago, IL 60628

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
200 E 115TH ST
CHICAGO, IL 60628
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 E 115TH ST
CHICAGO, IL 60628
Family Medicine
200 E 115TH ST
CHICAGO, IL 60628
Clinic/Center (Community Health)
200 E 115TH ST
CHICAGO, IL 60628
Social Worker (Clinical)
200 E 115TH ST
CHICAGO, IL 60628
Clinic/Center (Mental Health (Including Community Mental Health Center))
200 E 115TH ST
CHICAGO, IL 60628
Pediatrics
200 E 115TH ST
CHICAGO, IL 60628
Community/Behavioral Health
200 E 115TH ST
CHICAGO, IL 60628

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lagretta Green's NPI number?

The NPI number for Lagretta Green is 1639382807. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Lagretta Green located?

Lagretta Green practices at 200 E 115th St, Chicago, IL 60628. The listed phone number is (312) 747-2823.

What is Lagretta Green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

When was this NPI record last updated?

The NPPES record for Lagretta Green was last updated on June 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.