Organization
GREYWOOD HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY G YOVANKIN MD (COFOUNDER/EXECUTIVE DIRECTOR/CMO)
(609) 923-5642
Entity
Organization
Contact information
Practice address
303 W INSTITUTE PL FL 3, CHICAGO, IL 60610-3080
(312) 952-2396
Mailing address
640 N WELLS ST APT 703, CHICAGO, IL 60654-3733
(609) 923-5642
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2020
Last updated
06/28/2024
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