Healthcare Provider Details

I. General information

NPI: 1982244091
Provider Name (Legal Business Name): SHERRY L GREEN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E GOLF RD STE 950
SCHAUMBURG IL
60173-5034
US

IV. Provider business mailing address

801 W ALGONQUIN RD UNIT 7575
ALGONQUIN IL
60102-1026
US

V. Phone/Fax

Practice location:
  • Phone: 331-214-3792
  • Fax:
Mailing address:
  • Phone: 847-458-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number178010919
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178010919
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: