Provider Demographics
NPI:1811272248
Name:THE GLOCOMS GROUP INC
Entity type:Organization
Organization Name:THE GLOCOMS GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MAURENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-456-0991
Mailing Address - Street 1:1400 W FULTON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-1110
Mailing Address - Country:US
Mailing Address - Phone:312-456-0991
Mailing Address - Fax:312-949-9139
Practice Address - Street 1:40 E CHICAGO AVE # 200
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2026
Practice Address - Country:US
Practice Address - Phone:312-456-0991
Practice Address - Fax:312-949-9139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty
No302F00000XManaged Care OrganizationsExclusive Provider OrganizationGroup - Single Specialty