Judith H Green in Indian Head Park - Addiction (substance Use Disorder)
Judith H Green - NPI 1396860821
Judith H Green is a Addiction (substance Use Disorder) in Indian Head Park, Illinois. Judith H Green practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Judith H Green is 1396860821. The last update date is 2007-07-08.
Judith H Green's current location address is 125 Acacia Circle, Indian Head Park, Illinois. You can contact this provider via phone number 7087840014. The mailing address for Judith H Green is 125 Acacia Circle, Indian Head Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith H Green |
|---|---|
| Address | 125 Acacia Circle, Indian Head Park, Illinois |
| Phone Number | 7087840014 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1396860821 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 125 Acacia Circle |
|---|---|
| City | Indian Head Park |
| State | Illinois (IL) |
| Post Code | 60525 |
| Phone Number | 7087840014 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CERT# 5603 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1623196 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Judith H Green by the Centers for Medicare & Medicaid Services (CMS)?
The Judith H Green has been assigned the NPI (National Provider Identifier) 1396860821. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Judith H Green?
The Judith H Green is situated at 125 Acacia Circle, in the city of Indian Head Park, state of IL, with the zip code 60525.
What is the area of specialization for Judith H Green, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Judith H Green is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.
On what date did the Judith H Green receive the assignment of its 1396860821 from the Centers for Medicare & Medicaid Services?
The Judith H Green was issued its 1396860821 by the Centers for Medicare & Medicaid Services on 2007-03-21.
When was the information regarding Judith H Green most recently updated?
The details pertaining to the Judith H Green, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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