Family Medical Clinic Inc.

LBN: Family Medical Clinic Inc.
Family Medical Clinic Inc. is an health care organization with primary practice located at 800 Biesterfield Rd 535, Elk Grove Village IL 60007-3311. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Family Medical Clinic Inc. can be contacted via phone (847) 439-6803, or through Castro, Roberto via phone (847) 439-6803.

Contact Information

Primary practice address
800 Biesterfield Rd 535 Elk Grove Village IL 60007-3311
Fax:
Website:
Authorized official contact:
Name: Castro, Roberto Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 36094399 Illinois

Profile Details

NPI number 1144266602
LBN Legal business name Family Medical Clinic Inc.
DBA Doing business as
Authorized official Castro, Roberto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144266602 NPPES
Illinois MEDICAID 036094399

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