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General NPI Number Information
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NPI Number | 1073208856
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTHCARE CLINIC PLLC
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 14500 JOHN HUMPHREY DR UNIT 6
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City | ORLAND PARK
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State | IL
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Zip | 60462-2816
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Country | US
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Telephone | 312-489-6756
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Fax | 773-595-3912
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Provider Business Mailing Address
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Address Line | 14500 JOHN HUMPHREY DR UNIT 6
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City | ORLAND PARK
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State | IL
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Zip | 60462-2816
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Country | US
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Telephone | 312-489-6756
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Fax | 773-595-3912
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KEVIN JOSEPH STROHL
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Credential | FNP-BC
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Telephone | 312-489-6756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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