Green Healthcare Clinic Llc

LBN: Green Healthcare Clinic Llc
Green Healthcare Clinic Llc is an health care organization with primary practice located at 4425 W 63Rd St Ste 204 , Chicago IL 60629-5565. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Green Healthcare Clinic Llc can be contacted via phone (888) 876-7012, or through Green, Jacinta via phone (815) 937-0552.

Contact Information

Primary practice address
4425 W 63Rd St Ste 204 Chicago IL 60629-5565
Phone: (888) 876-7012
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Jacinta Doctor of Medicine (MD)
Phone: (815) 937-0552

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1013574532
LBN Legal business name Green Healthcare Clinic Llc
DBA Doing business as
Authorized official Green, Jacinta Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2019
Last updated May 20th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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