Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Healthcare Clinic LLC

Organization Cardiovascular Disease Physician · NPI 1013574532

Green Healthcare Clinic LLC is a Cardiovascular Disease Physician 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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