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1366942450
REBECCA A GREEN
SPRINGFIELD, IL
NPI
1366942450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209-017149)
Enumeration Date
2018-02-15
Last Update Date
2023-02-09
Business Address
REBECCA A GREEN NP-C
319 E MADISON ST STE 1F
SPRINGFIELD, IL 62701-3118
Phone number: 217-545-8000
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Mailing Address
REBECCA A GREEN NP-C
PO BOX 19670
SPRINGFIELD, IL 62794-9670
Phone number: 217-545-8000
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