Global Community Mental Health Center SE Sub Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036055245 Issued in IL

Legal business name

GLOBAL COMMUNITY MENTAL HEALTH CENTER SE SUB INC

Practice address

3011 183Rd St
Suite # 300
Homewood, IL 60430-2804

Phone

(708) 720-6609

Fax

(708) 748-6180

NPI assigned

May 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anwar S Yamini

Title

C.E.O.

Phone

(708) 720-6609

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1124073143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 183RD ST",
            "address_2": "SUITE # 300",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302804",
            "telephone_number": "708-720-6609",
            "fax_number": "708-748-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 183RD ST",
            "address_2": "SUITE # 300",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302804",
            "telephone_number": "708-720-6609",
            "fax_number": "708-748-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL COMMUNITY MENTAL HEALTH CENTER SE SUB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "YAMINI",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "708-720-6609"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036055245",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036055245",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055245",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Gillespie, LCSW
• Kimberly Gillett
• Franzie Marie Giordani, M.S. LPC ELIGIBLE
• Linda Girardot, APRN
• Glass Clinical Labs Inc.
• Glow Behavioral Health Services LLC
• God'S Gentle Touch Home Care, LLC
• Allan M Goga, RPH
• Golden Healthcare Services Inc
• Marissa L Goldman, LCSW

• Family Medicine Physician in Homewood, IL
• Providers in Homewood, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.