Provider Demographics
NPI:1679596027
Name:GLOBAL HEALTH CARE SC
Entity Type:Organization
Organization Name:GLOBAL HEALTH CARE SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EHAB
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-774-1790
Mailing Address - Street 1:1875 W DEMPSTER ST STE 605
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-1168
Mailing Address - Country:US
Mailing Address - Phone:773-774-1790
Mailing Address - Fax:847-692-6755
Practice Address - Street 1:1875 W DEMPSTER ST STE 605
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1168
Practice Address - Country:US
Practice Address - Phone:773-774-1790
Practice Address - Fax:847-692-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036101099207R00000X
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036101099Medicaid
IL539180Medicare PIN
ILG42022Medicare UPIN