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MR. MARVIN LEONARD GREEN CADC
NPI 1821783093
Counselor - Addiction (Substance Use Disorder) in Chicago, IL

Active since April 05, 2023
4259 S BERKELEY AVE, CHICAGO, IL 60653(312) 337-1073 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Marvin Leonard Green Cadc NPPES

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

MR. MARVIN LEONARD GREEN CADC (NPI 1821783093) is an individual addiction (substance use disorder) provider in Chicago, Illinois, licensed in Illinois (22756) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1821783093
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. MARVIN LEONARD GREENCredential: CADC
Location Address4259 S BERKELEY AVEChicago, IL 60653-3030
Mailing Address1276 N Clybourn AveChicago, IL 60610-2003 · (312) 337-1073
Phone(312) 337-1073
Sole ProprietorNo
Enumeration DateApril 5, 2023
NPPES CertifiedMarch 21, 2023
✔ NPI 1821783093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 22756
4259 S BERKELEY AVE, Chicago, IL 60653
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADEWALE OLAILAN LAWAL DMD
Dentist (General Practice)
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (312) 646-6620
MIGUEL BAUTISTA CADC
Counselor (Addiction (Substance Use Disorder))
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 268-7600
NEAR NORTH HEALTH SERVICE CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 268-7600
JENNY HYE JIN CHA-KIM M.D.
Pediatrics
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 268-7600
DR. GREGORY C. VACHON M.D.
Internal Medicine
4259 S BERKELEY AVE, KOMED HEALTH CENTER
CHICAGO, IL 60653
Cook County (312) 285-7678
SAMANTHA KUFTA D.M.D
Dentist (Dental Public Health)
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (630) 965-7306
MRS. MARY CAITLIN GONDEK APN
Nurse Practitioner (Family)
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 268-7600
KAYLA MARCHELLE JONES APN
Nurse Practitioner (Family)
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 268-7600

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 Marvin Green's NPI number?

The NPI number for Marvin Green is 1821783093. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Marvin Green located?

Marvin Green practices at 4259 S Berkeley Ave, Chicago, IL 60653. The listed phone number is (312) 337-1073.

What is Marvin Green's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marvin Green was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.