person
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. You can also correspond with Teresa Green through the mailing address at 151 N MAIN, DECATUR, IL - 62523 (mailing address contact number: 217-362-6262).

Location: 151 N Main St, Decatur, IL, 62523
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
State
Zip
62523-1206
Phone Number
217-362-6262
Fax Number
person
Provider Business Mailing Address Details
Address
151 N Main St
City
State
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
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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