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General NPI Number Information
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NPI Number | 1639340292
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Entity Type | Organization
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Legal Business Name | HEALTH CARE FOR THE FAMILY SC
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 8 N BARRINGTON RD
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City | STREAMWOOD
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State | IL
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Zip | 60107-1901
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Country | US
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Telephone | 630-483-0200
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Fax | 630-483-0215
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Provider Business Mailing Address
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Address Line | 8 N BARRINGTON RD
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City | STREAMWOOD
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State | IL
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Zip | 60107-1901
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Country | US
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Telephone | 630-483-0200
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Fax | 630-483-0215
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT CRAIG DEMKE
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Credential | M.D.
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Telephone | 630-483-0200
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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 | 036051067
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License Number State | IL
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