| Great Minds Healthcare Services Llc | |
|
850 Burnham Ave Calumet City IL 60409-4707 | |
| (773) 756-7402 | |
| Not Available |
| Full Name | Great Minds Healthcare Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 850 Burnham Ave, Calumet City, Illinois |
| Authorized Official Name and Position | Ernest Ogbeide (CEO) |
| Authorized Official Contact | 7737567402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Minds Healthcare Services Llc 850 Burnham Ave Calumet City IL 60409-4707 Ph: () - | Great Minds Healthcare Services Llc 850 Burnham Ave Calumet City IL 60409-4707 Ph: (773) 756-7402 |
| NPI Number | 1033816426 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Medicare PECOS PAC ID | 9931621695 |
|---|---|
| Medicare Enrollment ID | O20250321002925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033816426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ernest Ogbeide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235763863 PECOS PAC ID: 1456776830 Enrollment ID: I20200731002148 |
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