Green, Jodie

Green, Jodie is an individual health care provider with primary practice located at 120 S Marion St , Oak Park IL 60302-2809. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Jodie can be contacted via phone (708) 383-7500.

Contact Information

Primary practice address
120 S Marion St Oak Park IL 60302-2809
Phone: (708) 383-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.019021 Illinois

Profile Details

NPI number 1811434764
LBN Legal business name Green, Jodie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2017
Last updated Jan 30th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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