OrganizationActive
Green Healthcare Clinic LLC
NPI 1013574532 · Cardiovascular Disease Physician · Chicago, IL
Provider details
- NPI number
- 1013574532
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacinta Green, Owner/Physician(815) 937-0552
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4425 W 63rd St Ste 204
Chicago, IL 60629-5565
Phone: (888) 876-7012
Street-level locationGet directions
Mailing address
825 Woodlea Rd
Kankakee, IL 60901-8199
Other names (DBA / former)
- Doing business as
- Green Healthcare Clinic
Registry dates
- Enumerated
- 2019-05-20
- Last updated
- 2019-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.