| Kenisha Green, | |
|
710 S Paulina St Ste 438, Chicago, IL 60612-3808 | |
| (312) 563-9196 | |
| Not Available |
| Full Name | Kenisha Green |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 3 Years |
| Location | 710 S Paulina St Ste 438, Chicago, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023903572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149031840 (Illinois) | Primary |
| 104100000X | Social Worker | (Illinois) | Secondary |
| Entity Name | Rush University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
| Entity Name | Rush Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467312850 PECOS PAC ID: 5193268241 Enrollment ID: O20260324001030 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenisha Green, 1053 W 108th Pl, Chicago, IL 60643-3724 Ph: (773) 208-8195 | Kenisha Green, 710 S Paulina St Ste 438, Chicago, IL 60612-3808 Ph: (312) 563-9196 |
Ms. Deborah Lee Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 W Peterson Ave, Chicago, IL 60659 Phone: 773-293-8437 Fax: 773-728-4751 |
Mrs. Melinda D Berry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8240 S Sacramento Ave, Chicago, IL 60652 Phone: 312-316-7977 |
Mr. Greg Rosen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1525 E 53rd St, #630, Chicago, IL 60615 Phone: 773-752-8808 |
Mr. John Anthony Knoerzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3850 W Sunnyside Ave, #304, Chicago, IL 60625 Phone: 773-234-1517 |
Aren M. Drehobl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5756 N Ridge Ave Ste 10, Chicago, IL 60660 Phone: 773-263-4168 |
Ms. Aviva Cahn, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 333 N Michigan Ave, Suite 1801, Chicago, IL 60601 Phone: 773-301-8576 |
Mrs. Eliverta Barjamaj, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 912 S Wood St, Room 743, Chicago, IL 60612 Phone: 312-355-4901 |