Dr Green Ltd - Chicago, IL

Dr Green Ltd

Adult Mental Health Clinic/Center in Chicago, Illinois

NPI 1306072442

Dr Green Ltd is an Adult Mental Health Clinic/Center based in Chicago, IL and is specialized in Adult Mental Health. Dr Green Ltd practices in Chicago, IL. The NPI Number for Dr Green Ltd is 1306072442 and holds a License No. 036103929 (Illinois).

The current practice location address for Dr Green Ltd is 4403 W Lawrence Ave, Chicago, IL and can be reached out via phone at 773-736-1555 and via fax at 773-736-1552.

Location: 4403 W Lawrence Ave, Chicago, IL, 60630-2513

NPI Number

1306072442

Provider Name

Dr Green Ltd

Credential

Provider Entity Type

Organization

Address

4403 W Lawrence Ave, Chicago, IL, 60630-2513

Phone Number

773-736-1555

Fax Number

773-736-1552

Provider Enumeration Date

06/03/2009

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
036103929	05	IL

Address

4403 W Lawrence Ave

City

Chicago

State

Illinois

Zip

60630-2513

Phone Number

773-736-1555

Fax Number

773-736-1552

Address

4403 W Lawrence Ave

City

Chicago

State

Illinois

Zip

60630-2513

Phone Number

773-736-1555

Fax Number

773-736-1552

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Adult Mental Health

Taxonomy

261QM0850X

License No.

036103929 (Illinois)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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