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NPI Code Detail

MEDICARE: FAMILY HEALTH CARE, INC

MEDICARE: FAMILY HEALTH CARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine Physician36052004IL

General Provider Information

NPI Number : 1669646980
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HEALTH CARE, INC
Provider Business Mailing Address
First Line : 6728 LAKEVIEW CT
Second Line :
City : WOODRIDGE
State : IL
Zip : 60517-1437
Country : US
Telephone Number : 815-726-0311
Fax Number : 815-726-0520
Provider Business Practice Location Address
First Line : 300 N OTTAWA ST
Second Line :
City : JOLIET
State : IL
Zip : 60432-4009
Country : US
Telephone Number : 815-726-0311
Fax Number : 815-726-0520
Authorized Official
Title or Position : PRESIDENT
Name : DR. RAJENDRA M CHOKSI
Credential : M.D.
Telephone Number : 815-726-0311
Provider Enumeration Date : 04/17/2008
Last Update Date : 04/17/2008

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Directions to “FAMILY HEALTH CARE, INC ” Practice Location

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