Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Antoinette Green, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1134409576

Mrs. Antoinette Green, FNP-BC is a Nurse Practitioner in Waukegan, Illinois. Qualified in 2015, 11 years ago. Practices with Las Cruces Physician Practices, LLC, a 108-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2011
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone: (847) 360-4303
Fax: (847) 596-4506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209008964 (IL)

Record details

NPI number1134409576
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 17, 2011
Last updated in NPPESJanuary 10, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Las Cruces Physician Practices, Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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