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

Richard Victor Green

Individual provider Internal Medicine Physician · NPI 1710514138

Richard Victor Green is a Pediatric Medicine in Maywood, Illinois. Qualified in 2020, 6 years ago. Practices with Loyola University Medical Center, a 946-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5000 S 5th Ave, Hines, IL 60141-3030 — (708) 202-8387

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036.167645 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036.167645 (IL)

Record details

NPI number1710514138
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESJune 30, 2024
Certification dateJune 30, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Loyola University Medical Center — 946 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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