Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Green Healthcare Clinic LLC

Organization Cardiovascular Disease Physician · NPI 1013574532

Green Healthcare Clinic LLC provides Cardiovascular Disease Physician services in Chicago, Illinois. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4425 W 63rd St Ste 204
Chicago, IL 60629-5565
Phone: (888) 876-7012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1013574532
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacinta Green — Owner/Physician · (815) 937-0552
Other names Green Healthcare Clinic
NPI enumeratedMay 20, 2019
Last updated in NPPESMay 20, 2019
Mailing address825 Woodlea Rd, Kankakee, IL 60901-8199

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