Organization
GREAT MINDS HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST OGBEIDE (NURSE PRACTITIONER)
(708) 381-9943
Entity
Organization
Contact information
Practice address
850 BURNHAM AVE, CALUMET CITY, IL 60409-4707
(708) 381-9943
Mailing address
9631 S CICERO AVE # 1587, OAK LAWN, IL 60453-3137
(708) 381-9943
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
03/31/2025
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