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D.O.C FAMILY PRACTICE S.C. NPI 1861750036


NPI Information

NPI: 1861750036
Provider Name: D.O.C, FAMILY PRACTICE, S.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6300 ROOSEVELT RD
OAK PARK, IL
ZIP 60304
Phone: (708) 383-6333
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D.O.C, FAMILY PRACTICE, S.C. is a primary care clinic center in Oak Park, IL. D.O.C, FAMILY PRACTICE, S.C. NPI is 1861750036. The provider is registered as an organization entity type.

The provider's business location address is:

6300 ROOSEVELT RD
OAK PARK, IL
ZIP 60304-303
Phone: (708) 383-6333
Fax: (708) 383-6347

The provider's authorized official is Crystal Ann Peoples .
The authorized official title is President and has the following contact phone number (708) 383-6333.

The enumeration date for this NPI number is 4/25/2012 and was last updated on 4/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care036075404ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11588775696OTHERILLINOISMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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