Organization
GLOBCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRZYSZTOF KULAGA P.T. (PRESIDENT)
(773) 725-8809
Entity
Organization
Contact information
Practice address
4747 W PETERSON AVE, SUITE 105, CHICAGO, IL 60646-5712
(773) 725-8809
(772) 725-4202
Mailing address
4747 W PETERSON AVE, SUITE 105, CHICAGO, IL 60646-5712
(773) 725-8809
(772) 725-4202
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
58488
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1621716
BLUECROSS BLUESHIELD
IL
Enumeration date
10/20/2010
Last updated
10/20/2010
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