Green Healthcare Clinic LLC

NPI #1013574532 in Chicago, Illinois

Provider Information

NPI Number
1013574532
Entity Type
Organization
Organization Name
Green Healthcare Clinic LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
May 20, 2019
Last Updated
May 20, 2019

Practice Location

Address
4425 W 63RD ST STE 204
ZIP Code
60629-5565
Phone
(888) 876-7012

Authorized Official

Name
DR. JACINTA GREEN, MD
Title
OWNER/PHYSICIAN
Phone
(815) 937-0552

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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