Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Leann Green, PA-C

Individual provider Medical Physician Assistant · NPI 1033344742

Jennifer Leann Green, PA-C is a Physician Assistant in Chicago, Illinois. Graduated from Brody School of Medicine at East Carolina University in 2008, 18 years ago. Practices with Carend Provider Group PA, a 25-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
18
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2045 W Grand Ave Ste B
Chicago, IL 60612-1577
Phone: (708) 630-1534
Fax: (888) 517-8619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-01769 (NC)

Record details

NPI number1033344742
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 26, 2009
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2008 (18 years in practice)
Group practice Carend Provider Group Pa — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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