FAMILY MEDICAL CENTER NPI 1922300086

NPI Information

NPI: 1922300086
Provider Name: FAMILY MEDICAL CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D0968729

Address:
52 N WOLF RD
WHEELING, IL
ZIP 60090
Phone: (847) 465-0401
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FAMILY MEDICAL CENTER is a primary care clinic center in Wheeling, IL. FAMILY MEDICAL CENTER NPI is 1922300086. The provider is registered as an organization entity type.

The provider's business location address is:

52 N WOLF RD
WHEELING, IL
ZIP 60090-901
Phone: (847) 465-0401

The provider's authorized official is Jorge E. Brunelle .
The authorized official title is President and has the following contact phone number (847) 465-0401.

The CLIA number assigned to this NPI record is 14D0968729 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2010 and was last updated on 1/5/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	36-097428	ILLINOIS	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: 4/28/2024

NPI Synchronization or Removal

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