Cicely Green

NPI 1558992727 · on the registry since 2020 · sole proprietor

Practice

Address: 53 W Jackson Blvd Ste 1620
Chicago, IL 60604
Phone: (786) 239-5280
Organisation at this address: Daisy Oms Llc
Dara Denton Llc
Heidi Schmelter
Equilibrium, Inc
Glass Half, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 148

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-01-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois