GREEN HEALTHCARE CLINIC LLC
NPI 1013574532
Internal Medicine - Cardiovascular Disease in Chicago, IL

Q: What is Green Healthcare Clinic LLC's NPI number?

The NPI number for Green Healthcare Clinic LLC is 1013574532. It was assigned to this organization in the NPPES registry on May 20, 2019. The provider is doing business as Green Healthcare Clinic.

Q: What is Green Healthcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since May 20, 2019

4425 W 63RD ST STE 204, CHICAGO, IL 60629(888) 876-7012 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Green Healthcare Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN HEALTHCARE CLINIC LLC (NPI 1013574532), doing business as Green Healthcare Clinic, is a healthcare organization registered as a cardiovascular disease in Chicago, Illinois and active in the NPI registry since May 2019. The organization lists Jacinta Green, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1013574532

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameGREEN HEALTHCARE CLINIC LLC

Location Address4425 W 63RD ST STE 204Chicago, IL 60629-5565

Mailing Address825 Woodlea RdKankakee, IL 60901-8199 · (815) 937-0552

Phone(888) 876-7012

Organization SubpartNo

Authorized OfficialJacinta GreenOwner/physician · (815) 937-0552

Enumeration DateMay 20, 2019

✔ NPI 1013574532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

4425 W 63RD ST STE 204, Chicago, IL 60629

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Other Names 1

Doing Business AsGreen Healthcare Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Healthcare Clinic LLC's NPI number?

The NPI number for Green Healthcare Clinic LLC is 1013574532. It was assigned to this organization in the NPPES registry on May 20, 2019. The provider is doing business as Green Healthcare Clinic.

Where is Green Healthcare Clinic LLC located?

Green Healthcare Clinic LLC is located at 4425 W 63rd St Ste 204, Chicago, IL 60629. The listed phone number is (888) 876-7012.

What is Green Healthcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Green Healthcare Clinic LLC was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.