# GLAM HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glam Healthcare Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295515815
- **Authorized official:** LILLA DIRISU RN (ADMINISTRATOR)
- **Authorized official phone:** (312) 825-2477

## Contact information

- **Practice address:** 3601 W DEVON AVE STE 106, CHICAGO, IL 60659-1216
- **Practice address phone:** (312) 825-2477
- **Mailing address:** 3601 W DEVON AVE STE 106, CHICAGO, IL 60659-1216
- **Mailing address phone:** (312) 825-2477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 10/02/2023
- **Last updated:** 08/07/2025