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14D2090505 CLIA NUMBER - MICHAEL VOSICKY DO FAMILY HEALTHCARE LLC

Laboratory Demographics

CLIA Number: 14D2090505

Facility Name: MICHAEL VOSICKY DO FAMILY HEALTHCARE LLC

Facility Address:
290 SPRINGFIELD DR - STE 290
BLOOMINGDALE, IL
ZIP 60108
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Facility Phone Number: 630 351-9170

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1609807908

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 14D2090505
LAB Type Physician Office
Facility Name MICHAEL VOSICKY DO FAMILY HEALTHCARE LLC
Street 290 SPRINGFIELD DR - STE 290
City BLOOMINGDALE
State IL
ZIP 60108
Phone 630 351-9170
CertificateType 4
CertificateEffectiveDate 1/26/2023
CertificateExpirationDate 1/25/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024