Organization
GLAM HEALTHCARE INC
Active
Other names
Glam Healthcare Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LILLA DIRISU RN (ADMINISTRATOR)
(312) 825-2477
Entity
Organization
Contact information
Practice address
3601 W DEVON AVE STE 106, CHICAGO, IL 60659-1216
(312) 825-2477
Mailing address
3601 W DEVON AVE STE 106, CHICAGO, IL 60659-1216
(312) 825-2477
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
10/02/2023
Last updated
08/07/2025
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