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

Jeffrey Rordan Cillian Green

Individual provider Counselor · NPI 1659087815

Jeffrey Rordan Cillian Green is a Mental Health Counselor in Chicago, Illinois. Qualified in 2015, 11 years ago. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

4711 N Broadway St Ste 102
Chicago, IL 60640-4908
Phone: (630) 523-3177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 178.018777 (IL)

Record details

NPI number1659087815
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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