Green, Michael

Green, Michael is an sole proprietor health care provider with primary practice located at 17100 Dixie Hwy Ste D , Hazel Crest IL 60429-1485. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Green, Michael can be contacted via phone (708) 335-1155.

Contact Information

Primary practice address
17100 Dixie Hwy Ste D Hazel Crest IL 60429-1485
Phone: (708) 335-1155
Fax: (708) 335-1155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1992269039
LBN Legal business name Green, Michael
Credentials CADC, MISA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2019
Last updated Jan 23rd, 2019 - about 7 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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