Organization
GLC WELLNESS CENTER ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GRIFFIN (OWNER-CEO)
(312) 999-0808
Entity
Organization
Contact information
Practice address
7118 S JEFFERY BLVD, CHICAGO, IL 60649-2426
(877) 767-1692
Mailing address
PO BOX 3543, OAK BROOK, IL 60522-3543
(312) 730-4355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
08/30/2019
Last updated
08/31/2021
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