Organization
MEDCO PHYSICIANS UNLIMITED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANWAR YAMINI SR. (PRESIDENT)
(708) 432-8445
Entity
Organization
Contact information
Practice address
15520 ROSE DR, SOUTH HOLLAND, IL 60473-1337
(708) 432-8445
Mailing address
16260 LOUIS AVE UNIT 1546, SOUTH HOLLAND, IL 60473-5285
(708) 724-7570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144610
MEDICARE CERTIFIED COMMUNITY MENTAL HEALTH CENTER
IL
Enumeration date
05/03/2007
Last updated
12/09/2025
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