Individual
BRIAN T GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4009 N BROADWAY ST, CHICAGO, IL 60613-2110
(773) 275-2586
Mailing address
4009 N BROADWAY ST, CHICAGO, IL 60613-2110
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150102381
IL
1041C0700X
Clinical Social Worker
Primary
149.021740
IL
Other
Enumeration date
02/05/2019
Last updated
05/15/2025
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