FAMILY PHYSICIANS INC NPI 1679001069

NPI Information

NPI: 1679001069
Provider Name: FAMILY PHYSICIANS INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 14D2142719

Address:
5901 N CICERO AVE STE 600
CHICAGO, IL
ZIP 60646
Phone: (773) 983-6204
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FAMILY PHYSICIANS INC is a multi-specialty clinic center in Chicago, IL. FAMILY PHYSICIANS INC NPI is 1679001069. The provider is registered as an organization entity type.

The provider's business location address is:

5901 N CICERO AVE STE 600
CHICAGO, IL
ZIP 60646-721
Phone: (773) 983-6204

The provider's authorized official is Yongsoo Kwon .
The authorized official title is Medical Director and has the following contact phone number (773) 983-6204.

The CLIA number assigned to this NPI record is 14D2142719 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2017 and was last updated on 6/16/2018.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 11/14/2023

NPI Synchronization or Removal

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