KHALILAH GREEN
Case Manager/Care Coordinator

Address: 9222 S Perry Ave, Chicago, IL 60620-1419

KHALILAH GREEN (NPI# 1972197168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972197168
Entity Type Individual
Full Name KHALILAH GREEN
Gender Female
Practice Address 9222 S Perry Ave
Chicago
IL 60620-1419
Practice Telephone 7734548912
Mailing Address 9222 S Perry Ave
Chicago
IL 60620-1419
Mailing Telephone 7734548912
Certification Date 2021-02-27
Enumeration Date 2021-02-27
Last Update Date 2021-02-27
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
N 171M00000X Case Manager/Care Coordinator IL Other Service Providers
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 9222 S PERRY AVE
City CHICAGO
State IL
Zip Code 60620-1419

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1295358182 Kenya Reed Developmental Therapist 8920 S Loomis St, Apt 116, Chicago, IL 60620 2020-05-26
1255820031 Bnd Transportation Non-emergency Medical Transport (VAN) 9436 S Laflin St # 3, Chicago, IL 60620 2018-05-07
1609365659 Francis Nnawugo Nwawueze Nurse Practitioner · Family 8201 S Ashland Ave, Chicago, IL 60620 2018-05-04
1386132520 It Takes A Community LLC Day Training, Developmentally Disabled Services 9046 S Justine St, Chicago, IL 60620 2018-04-24
1013422609 Margeaux Ardiente Gastala Nurse Practitioner · Family 8234 S Ashland Ave, Chicago, IL 60620 2017-12-05
1598200164 Julie Rae Scott Social Worker · Clinical 400 W 76th Street, Suite 226, Chicago, IL 60620 2017-01-05
1033521968 James Towns Clinical Exercise Physiologist 9247 S. Wentworth, Chicago, IL 60620 2014-05-27
1629488788 Renee Victoria Green Counselor · Mental Health 9415 S. Lowe, Chicago, IL 60620 2014-04-29
1588085138 Steven Hsu Chiropractor 9415 S. Western Ave., Suite 207, Chicago, IL 60620 2013-12-30
1164791810 Richard Kasper Pharmacist 7901 S Western, Chicago, IL 60620 2011-12-27
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrolleeā€™s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881287217 Chiayu Mcgill 200 W Monroe St Ste 1150, Chicago, IL 60606-5036 2021-02-17
1124619374 Leah Paskero 1600 N Marshfield Ave Unit 201, Chicago, IL 60622 2021-01-31
1730778069 Karlesia Pickett 55 E Monroe St Ste 38109, Chicago, IL 60603-5713 2021-01-12
1396334850 Cassandra Ramos 2601 W Marquette Rd, Chicago, IL 60629-1817 2021-01-11
1295323624 Patrice Moore 55 E Monroe St Ste 38109, Chicago, IL 60603-5713 2020-12-31
1295322287 Shanta Coppage 200 W Madison St, Chicago, IL 60606-3414 2020-12-24
1902493992 Maren Wilburn 200 W Madison St Ste 2100, Chicago, IL 60606-3521 2020-12-24
1740887157 Forefront Healthcare Solutions, Inc. 60 E Monroe St Unit 3801, Chicago, IL 60603-2751 2020-10-08
1205441698 Desirae Mccrainey 55 E Monroe St Ste 38109, Chicago, IL 60603-5713 2020-09-11
1295352888 Marcus E. Windhom Sr. 7736 S Kimbark Ave, Chicago, IL 60619-3429 2020-06-29
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Competitor

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City CHICAGO
Zip Code 60620

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Dataset Information

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.