Healthcare Provider Details

I. General information

NPI: 1306938170
Provider Name (Legal Business Name): AMERICAS FAMILY MEDICAL CENTERS, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 E LAKE STREET
ADDISON IL
60101-2829
US

IV. Provider business mailing address

580 E LAKE STREET
ADDISON IL
60101-2829
US

V. Phone/Fax

Practice location:
  • Phone: 630-833-5838
  • Fax: 630-833-3266
Mailing address:
  • Phone: 630-833-5838
  • Fax: 630-833-3266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number042.618533
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number036.098595
License Number StateIL

VIII. Authorized Official

Name: DR. HUGO E DULCE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 630-833-5838