Active NPI
Richard Lamont Green Jr., BSN
- Medical-Surgical Registered Nurse
- North Chicago, IL
National Provider Identifier
1578469664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 1221904
- Practice address
- 3001 Green Bay Rd
North Chicago, IL 60064-3048 - Phone
- (224) 610-3886
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 1221904 | TX | Primary |
Addresses
Primary practice location
3001 Green Bay Rd
North Chicago, IL 60064-3048
Mailing address
250 Plaza Cir Apt 223
Mundelein, IL 60060-3110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792108800000",
"number": "1578469664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PLAZA CIR APT 223",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600603110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 GREEN BAY RD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600643048",
"telephone_number": "224-610-3886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "RICHARD",
"middle_name": "LAMONT",
"name_suffix": "Jr.",
"credential": "BSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "TX",
"license": "1221904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.