FAMILY DOCTOR MEDICAL CENTER NPI 1336516780

NPI Information

FAMILY DOCTOR MEDICAL CENTER is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). FAMILY DOCTOR MEDICAL CENTER NPI is 1336516780. The provider is registered as an organization entity type.

The provider's business location address is:

1918 W IRVING PARK RD
CHICAGO, IL
ZIP 60613-408
Phone: (773) 940-1612

The provider's authorized official is Julia Jackson .
The authorized official title is Office Manager and has the following contact phone number (773) 940-1612.

The enumeration date for this NPI number is 9/1/2015 and was last updated on 9/1/2015.

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

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