Organization
GLOBAL COMMUNITY MENTAL HEALTH CENTER SE SUB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANWAR S YAMINI (C.E.O.)
(708) 720-6609
Entity
Organization
Contact information
Practice address
3011 183RD ST, SUITE # 300, HOMEWOOD, IL 60430-2804
(708) 720-6609
(708) 748-6180
Mailing address
3011 183RD ST, SUITE # 300, HOMEWOOD, IL 60430-2804
(708) 720-6609
(708) 748-6180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036055245
IL
207R00000X
Internal Medicine Physician
036055245
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055245
—
IL
Enumeration date
05/25/2006
Last updated
01/06/2011
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