Jalessia Lyray Green, PA-C
Physician Assistant in Palos Heights, IL. Individual provider (NPI-1).
NPI number1982140018
StatusActive
Last updated in NPPESJan 12, 2026
Details
- NPI
- 1982140018
- Entity type
- Individual (NPI-1)
- Name
- Jalessia Lyray Green
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2017
- Certification date
- Jan 12, 2026
- Last updated
- Jan 12, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085011322 | IL | Yes |
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | 26-2707834 | CO |
Practice location
12251 S 80th Ave Ste 1520Palos Heights, IL 60463-1290
Phone 708-923-4200 · Fax 708-923-4201
Mailing address
12251 S 80th Ave Ste 1520Palos Heights, IL 60463-1290
Phone 708-923-4200 · Fax 708-923-4201
Other practice locations
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All 34 Physician Assistant providers in Palos Heights · All 1,350 providers in Palos Heights
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