Individual
KEISHA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
1022 DOUGLAS RD, OSWEGO, IL 60543-5133
(630) 898-5322
Mailing address
4981 MEADOW LAKE DR, RICHTON PARK, IL 60471-1188
(630) 898-5322
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112966
IL
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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