Organization
URBAN MALE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMERA H GALVEZ (CFO)
(630) 946-3996
Entity
Organization
Contact information
Practice address
6500 S CARPENTER ST, CHICAGO, IL 60621-1234
(630) 946-3996
Mailing address
7637 S LAFLIN ST, CHICAGO, IL 60620-4131
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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