Active NPI
Julie Iona Green
- Pediatric Nurse Practitioner
- Chicago, IL
National Provider Identifier
1912774449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 209028399
- Practice address
- 225 E Chicago Ave
Chicago, IL 60611-2991 - Phone
- (312) 227-4000
- NPI assigned
- Dec 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209028399 | IL | Primary |
Addresses
Primary practice location
225 E Chicago Ave
Chicago, IL 60611-2991
Mailing address
618 Hillside Dr
Hinsdale, IL 60521-5108
Phone (630) 987-9697
Other practice location 1
3722 Touhy Ave
Skokie, IL 60076-3941
Phone (312) 227-5600
Other practice location 2
1131 Techny Rd
Northbrook, IL 60062-5503
Phone (312) 227-7600
Other practice location 3
25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-2340
Other practice location 4
2515 N Clark St
Chicago, IL 60614-2730
Phone (800) 543-7362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209028399 | IL | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702166400000",
"number": "1912774449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 HILLSIDE DR",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605215108",
"telephone_number": "630-987-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-4000"
}
],
"practiceLocations": [
{
"address_1": "3722 Touhy Ave",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "600763941",
"country_code": "US",
"telephone_number": "312-227-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1131 Techny Rd",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600625503",
"country_code": "US",
"telephone_number": "312-227-7600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 N Winfield Rd",
"address_purpose": "LOCATION",
"city": "Winfield",
"state": "IL",
"postal_code": "601901379",
"country_code": "US",
"telephone_number": "630-933-2340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2515 N Clark St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606142730",
"country_code": "US",
"telephone_number": "800-543-7362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "JULIE",
"middle_name": "IONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-10",
"certification_date": "2023-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "209028399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.