Susan Diane Green
Susan Diane Green is a Prosthetics Case Management in Jacksonville, Illinois. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
307 E Court StJacksonville, IL 62650-2019
Phone: (217) 370-7852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|---|
| Prosthetics Case Management | Taxonomy 1744P3200X |
Record details
| NPI number | 1538843354 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2023 |
| Last updated in NPPES | June 20, 2023 |
| Certification date | June 20, 2023 |