Jeremy Green is a Driver based in Chicago, IL. Jeremy Green practices in Chicago, IL. The NPI Number for Jeremy Green is 1558012047 and holds a License No. G65043289292 (Illinois).
The current practice location address for Jeremy Green is 6808 S Perry Ave, Chicago, IL and can be reached out via phone at 773-617-3404.
Location: 6808 S Perry Ave, Chicago, IL, 60621-3733
Provider Profile Details
NPI Number
1558012047
Provider Name
Jeremy Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
6808 S Perry Ave, Chicago, IL, 60621-3733
Phone Number
773-617-3404
Fax Number
Provider Enumeration Date
01/16/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
6808 S Perry Ave
City
State
Zip
60621-3758
Phone Number
773-617-3404
Fax Number
Provider Business Mailing Address Details
Address
6808 S Perry Ave
City
State
Zip
60621-3758
Phone Number
773-617-3404
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
G65043289292 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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