Jennifer Renee Green, DC, ND

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013866 Issued in IL

Practice address

200 E Roosevelt Rd BLDG B
Lombard, IL 60148-4539

Phone

(630) 889-6453

Fax

(630) 889-6843

NPI assigned

Jun 7, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jennifer.green.1@11209.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11209/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• National University of Health Sciences

  • Chiropractor
  • Lombard, IL
  • NPI 1316079775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1821727652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 ROSE BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893200",
            "telephone_number": "847-370-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ROOSEVELT RD BLDG B",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484539",
            "telephone_number": "630-889-6453",
            "fax_number": "630-889-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DC, ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0082912",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tazinika Gray
• J James Graziano, M.D.
• John A. Greager II, MD
• Great Lakes Living Solutions Corp.
• Great Lakes Pain & Treatment Centers, LTD
• Casey Gregerson, CCC SLP
• Gregory Malo PSYD & Associates in Neuropsychology PC
• Trinity Griggs
• Catherine B. Grotelueschen, M.D.
• Madison Lee Grotto, MBA, RDN

• Chiropractor in Lombard, IL
• Providers in Lombard, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.