MISS Autumn-Marie L Green, P.A.-C.
NPI #1851648448 in Arlington Heights, Illinois
Provider Information
- NPI Number
- 1851648448
- Entity Type
- Individual
- Name
- MISS Autumn-Marie L Green, P.A.-C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.-C.
- Enumeration Date
- Aug 14, 2012
- Last Updated
- Apr 11, 2014
Practice Location
- Address
- 1100 W CENTRAL RD
- Address 2
- #200
- State
- Illinois
- ZIP Code
- 60005-2402
- Phone
- (847) 392-5440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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