Family Med Care Center Sc

NPI 1891733507 - Family Medicine - 207Q00000X

NPI Details
NPI 1891733507
Enumeration Date 06/03/2006
Last Updated 01/14/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUMAN SUMAN
Position PRESIDENT/OWNER
Phone (708) 423-3242
Fax (708) 423-2856
Practice Location
3900 W 95TH ST
EVERGREEN PARK IL, 60805-1922, US
Phone (708) 423-3242
Fax (708) 423-2856
Business Location
3360 W 95TH ST
EVERGREEN PARK IL, 60805-2236, US
Phone (708) 423-3242
Fax (708) 423-2856
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036091885
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According to our database, Family Med Care Center Sc NPI is 1891733507, taxonomy code is 207Q00000X and license number is 036091885, license state is located at Illinois. Family Med Care Center Sc physically located at 3900 W 95th St, Evergreen Park IL, 60805-1922. NPI Number 1033115704 has the healthcare provider type.

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1891733507 NPI number is provided on an as is basis without warranty of any kind. 1891733507 is maintained by the National Plan & Provider Enumeration System. The contents of Family Med Care Center Sc are for informational purposes only.