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FAMILY MEDICINE SPECIALISTS INC. NPI 1841513678


NPI Information

NPI: 1841513678
Provider Name: FAMILY MEDICINE SPECIALISTS, INC.
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 14D1105255

Address:
9700 N MAIN ST
RICHMOND, IL
ZIP 60071
Phone: (815) 678-4181
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FAMILY MEDICINE SPECIALISTS, INC. is a non pharmacy dispensing site in Richmond, IL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) FAMILY MEDICINE SPECIALISTS, INC. NPI is 1841513678. The provider is registered as an organization entity type.

The provider's business location address is:

9700 N MAIN ST
RICHMOND, IL
ZIP 60071-716
Phone: (815) 678-4181

The provider's authorized official is Jennifer Bellucci .
The authorized official title is Owner and has the following contact phone number (815) 678-4181.

The CLIA number assigned to this NPI record is 14D1105255 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2010 and was last updated on 3/1/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing SiteYes

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: 4/28/2024

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