DR. RICHARD GREEN (NPI# 1447355540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447355540 |
| Entity Type | Individual |
| Full Name | DR. RICHARD GREEN |
| Credential | M.D. |
| Practice Address |
2203 W 116th Pl Chicago IL 60643-4735 |
| Practice Telephone | 7734453933 |
| Practice Fax Number | 7734453935 |
| Mailing Telephone | 7734453933 |
| Mailing Fax Number | 7734453935 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2014-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036042299 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036042299 | 05 | |
| IL | BCBS ID | 1618334 | 01 |
| IL | RAILROAD | P00048214 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841774734 | Richard Dennis Green | Dentist | 11980 San Vicente Blvd Ste 600, Los Angeles, CA 90049-6604 | 2018-09-18 |
| 1669710919 | Richard Green | Occupational Therapy Assistant | 1168 Huntington Place Cir, Lithonia, GA 30058-3034 | 2013-01-22 |
| 1083928139 | Richard Charles Green | Massage Therapist | 5526 Nw 29th St, Gainesville, FL 32653-1861 | 2010-07-31 |
| 1801069273 | Richard J. Green | Hearing Instrument Specialist | 1817 N Union Blvd, Suite C, Colorado Springs, CO 80909-2268 | 2008-04-08 |
| 1972723617 | Richard Bernard Green | Counselor | 151 Finch Pl Sw Ste C, Bainbridge Island, WA 98110-2588 | 2007-04-26 |
| 1245379619 | Richard John Green | Dentist | 6300 Democracy Blvd, Bethesda, MD 20817-1664 | 2007-02-05 |
| 1134219041 | Richard Lawrence Green | Chiropractor | 4 Avery St, 4th Floor, Boston, MA 02111-1005 | 2006-10-13 |
| 1215049762 | Richard Joseph Green IIi | Family Medicine | 213 Vine St, Johnstown, PA 15901-1518 | 2006-08-31 |
| 1326051376 | Richard Brownlow Green | Dentist | 387 Town Mountain Road, Pikeville, KY 41501-1641 | 2006-08-14 |
| 1184632291 | Richard Green | Counselor | 3551 Front St, San Diego, CA 92103-4815 | 2006-08-04 |
| Street Address |
2203 W 116TH PL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-4735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1790132934 | Peter Barton Moreau | Radiology | 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 | 2016-05-18 |
| 1043678899 | Burce Ozgen Mocan | Radiology | 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 | 2016-02-08 |
| 1538552898 | Imo Ime Uko | Radiology | 4646 N Marine Dr Ste 7100, Chicago, IL 60640 | 2015-03-11 |
| 1962891739 | Katherine Conlon | Radiology | 240 E Huron St # 1-203, Chicago, IL 60611 | 2015-01-16 |
| 1861805871 | Arun Nagaraju | Radiology | 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 | 2014-06-06 |
| 1568873529 | Emily Ghobadi | Radiology | 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 | 2014-05-13 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.