RODERICA GREEN M.A., M.P.H., C.A.D.
NPI 1902186315
Counselor - Professional in Chicago, IL
Active since August 17, 2011
1431 N CLAREMONT AVE, 2ND FLOOR PAVILLION, CHICAGO, IL 60622(312) 491-7268(312) 491-5453 Get Directions Write a Review
About Roderica Green M.a., M.p.h., C.a.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RODERICA GREEN M.A., M.P.H., C.A.D. (NPI 1902186315) is an individual professional provider in Chicago, Illinois and active in the NPI registry since August 2011.
NPPES Registry Identity
NPI1902186315
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRODERICA GREENCredential: M.A., M.P.H., C.A.D.
Location Address1431 N CLAREMONT AVE, 2ND FLOOR PAVILLIONChicago, IL 60622-1702
Mailing Address1431 N Claremont Ave, 2nd Floor PavillionChicago, IL 60622-1702 · (312) 491-7268
Phone(312) 491-7268
Fax(312) 491-5453
Sole ProprietorYes
Enumeration DateAugust 17, 2011
✔ NPI 1902186315 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
1431 N CLAREMONT AVE, Chicago, IL 60622
Other Names 1
Professional Name (2)Erica Green
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902186315, enumerated as an "individual" on August 17, 2011.
The provider is located at 1431 N CLAREMONT AVE 2ND FLOOR PAVILLION CHICAGO, IL 60622 and the phone number is (312) 491-7268.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
