Organization
GREEN ENERGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOPE A GREEN LCSW (CLINICAL DIRECTOR)
(708) 299-4378
Entity
Organization
Contact information
Practice address
16643 KEDZIE AVE, SUITE 102, MARKHAM, IL 60428
(708) 299-4378
Mailing address
2703 TURTLE CREEK DR, HAZEL CREST, IL 60429-2156
(708) 299-4378
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
149007169
IL
Other
Enumeration date
08/08/2012
Last updated
04/08/2014
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