Organization
GLC WELLNESS CENTER CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GRIFFIN (CEO)
(312) 730-4355
Entity
Organization
Contact information
Practice address
477 E BUTTERFIELD RD STE 310, LOMBARD, IL 60148-4880
(312) 999-0808
Mailing address
PO BOX 3543, OAK BROOK, IL 60522-3543
(312) 730-4355
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/17/2020
Last updated
07/21/2020
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