Healthcare Provider Details

I. General information

NPI: 1114524022
Provider Name (Legal Business Name): COMPREHENSIVE FAMILY MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2020
Last Update Date: 04/01/2024
Certification Date: 04/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 E SCHAUMBURG RD STE 210
SCHAUMBURG IL
60194-5156
US

IV. Provider business mailing address

1375 E SCHAUMBURG RD STE 210
SCHAUMBURG IL
60194-5156
US

V. Phone/Fax

Practice location:
  • Phone: 630-635-2571
  • Fax: 224-353-6694
Mailing address:
  • Phone: 630-635-2571
  • Fax: 224-353-6694

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 Number
License Number State

VIII. Authorized Official

Name: STANISLAV GRINBERG
Title or Position: OWNER
Credential: MD
Phone: 847-338-4623