WILCO FAMILY PRACTICE LTD. NPI 1134238934

NPI Information

WILCO FAMILY PRACTICE, LTD. is a family medicine in Chicago, IL. The provider is 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. WILCO FAMILY PRACTICE, LTD. NPI is 1134238934. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2740 W FOSTER AVE
SUITE 307
CHICAGO, IL
ZIP 60625-500
Phone: (872) 208-7709
Fax: (872) 208-7703

The provider's authorized official is Susan Wilcoski .
The authorized official title is President and has the following contact phone number (872) 208-7709.

The CLIA number assigned to this NPI record is 14D0980211 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 3/25/2014.

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:

Other Identifiers

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

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