Search › Illinois › 367500000X
Kaisi Green
NPI 1881383230 · on the registry since 2023
Practice
- Address
- 904 W Temple Ave
Effingham, IL 62401 - Phone
- (217) 342-1234
- Fax
- (217) 342-1230
- Organisation at this address
- Robert H And Teresita S Petty
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 997 N 2650 St, Farina, IL
- 2900 Broadway St Ste B, Mount Vernon, IL
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois