Provider Type Icon

FAMILY CARE PARTNERS INC NPI 1861795486


NPI Information

NPI: 1861795486
Provider Name: FAMILY CARE PARTNERS INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 14D2037813

Address:
9133 S STONY ISLAND AVE STE 1
CHICAGO, IL
ZIP 60617
Phone: (773) 375-3312
Get Directions

FAMILY CARE PARTNERS INC is a multi-specialty clinic center in Chicago, IL. FAMILY CARE PARTNERS INC NPI is 1861795486. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9133 S STONY ISLAND AVE STE 1
CHICAGO, IL
ZIP 60617-512
Phone: (773) 375-3312
Fax: (773) 375-2334

The provider's authorized official is Khurram Khan .
The authorized official title is Ceo and has the following contact phone number (773) 375-3312.

The CLIA number assigned to this NPI record is 14D2037813 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2010 and was last updated on 2/2/2022.


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
1207R00000XInternal MedicineNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11861538712MEDICAIDILLINOIS
21861795486OTHERILLINOISPPO/HMO
31861795486MEDICAIDILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.