Healthcare Provider Details

I. General information

NPI: 1144131012
Provider Name (Legal Business Name): DENESHA B GREER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8035 S WOOD ST
CHICAGO IL
60620-4548
US

IV. Provider business mailing address

8035 S WOOD ST
CHICAGO IL
60620-4548
US

V. Phone/Fax

Practice location:
  • Phone: 773-852-9217
  • Fax:
Mailing address:
  • Phone: 773-852-9217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.033325
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: