| Global Community Mental Health Center Se Sub Inc | |
|
3011 183rd St Suite # 300 Homewood IL 60430-2804 | |
| (708) 720-6609 | |
| (708) 748-6180 |
| Full Name | Global Community Mental Health Center Se Sub Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3011 183rd St, Homewood, Illinois |
| Authorized Official Name and Position | Anwar S Yamini (C.E.O.) |
| Authorized Official Contact | 7087206609 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Global Community Mental Health Center Se Sub Inc 3011 183rd St Suite # 300 Homewood IL 60430-2804 Ph: (708) 720-6609 | Global Community Mental Health Center Se Sub Inc 3011 183rd St Suite # 300 Homewood IL 60430-2804 Ph: (708) 720-6609 |
| NPI Number | 1124073143 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 01/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124073143 | NPI | - | NPPES |
| 036055245 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036055245 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036055245 (Illinois) | Secondary |
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