Organization
GLC WELLNESS CENTER ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GRIFFIN (CEO)
(312) 730-4355
Entity
Organization
Contact information
Practice address
7118 S JEFFERY BLVD, CHICAGO, IL 60649-2426
(312) 999-0808
Mailing address
PO BOX 3543, OAK BROOK, IL 60522-3543
(312) 999-0808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/30/2020
Last updated
10/08/2021
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