Individual
NOEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
25 E WASHINGTON ST STE 1835, CHICAGO, IL 60602-1836
(312) 940-3655
Mailing address
11827 SOUTH LASALLE STREET, #3, CHICAGO, IL 60628
(312) 818-0497
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.112230
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362167937015
—
IL
Enumeration date
11/27/2023
Last updated
11/27/2023
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