GLC WELLNESS CENTER ILLINOIS LLC; NPI #1508414723

Contact Information

GLC WELLNESS CENTER ILLINOIS LLC

7118 S JEFFERY BLVD
CHICAGO, IL 60649-2426

Phone: 877-767-1692
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family Planning, Non-Surgical	261QF0050X
Adult Mental Health	261QM0850X
Case Management	251B00000X
Community/Behavioral Health	251S00000X
Mental Health	101YM0800X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Pain	261QP3300X
Primary Care	261QP2300X
Prison Health	261QP2400X
Public Health or Welfare	251K00000X	60	Public Health or Welfare Agency

Indicates primary specialty

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NPI Profile & details for GLC WELLNESS CENTER ILLINOIS LLC

NPI #	`1508414723`
LBN Legal business name	GLC WELLNESS CENTER ILLINOIS LLC
Authorized official	NANCY GRIFFIN - (OWNER-CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/30/2019
Last updated	08/31/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GLC WELLNESS CENTER ILLINOIS LLC

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NPI Profile & details for GLC WELLNESS CENTER ILLINOIS LLC

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