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Ms. Teresa Green, LPN
Clinic/Center in Decatur, Illinois
NPI 1144557810

Teresa Green is a Clinic/Center based in Decatur, IL. Teresa Green practices in Decatur, IL and has the professional credentials of LPN. The NPI Number for Teresa Green is 1144557810 and holds a License No. T370765549 (Illinois).

The current practice location address for Teresa Green is 151 N Main St, Decatur, IL and can be reached out via phone at 217-362-6262.

Location: 151 N Main St, Decatur, IL, 62523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144557810
Provider Name
Teresa Green
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
151 N Main St, Decatur, IL, 62523
Phone Number
217-362-6262
Fax Number
Provider Enumeration Date
11/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
151 N Main St
City
Decatur
State
Illinois
Zip
62523-1206
Phone Number
217-362-6262
Fax Number
person
Provider Business Mailing Address Details
Address
151 N Main St
City
Decatur
State
Illinois
Zip
62523-1206
Phone Number
217-362-6262
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
T370765549 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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